NPI | 1427677624 |
---|---|
Entity Type | Organization |
Authorized Contact | SHEILA ROBERTS Executive Director 910-845-5333 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
Additional Taxonomies | 207R00000X Internal Medicine |
261QD0000X Clinic/Center, Dental | |
Enumeration Date | 2020-04-09 |
Last Update Date | 2024-01-10 |