| 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 |