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 |