| NPI | 1396893640 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY KATHRYN RUDYK Owner 910-392-2525 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2007-01-05 |
| Last Update Date | 2013-09-13 |