NPI | 1417344433 |
---|---|
Entity Type | Organization |
Authorized Contact | CARLTON REID BEAMAN Medical Director/Owner 252-308-0686 |
Organization Subpart ? | No |
Primary Taxonomy | 261Q00000X Clinic/Center (Licence: NC 101911) |
Enumeration Date | 2015-04-16 |
Last Update Date | 2015-04-16 |