| NPI | 1427727833 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GERALD BYNUM Cmo/Owner 910-230-5703 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Additional Taxonomies | 261QU0200X Clinic/Center, Urgent Care |
| Enumeration Date | 2021-09-09 |
| Last Update Date | 2021-09-20 |