| NPI | 1447428768 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY BURCH MCMILLIAN Owner 910-488-0729 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: NC 105167) |
| Additional Taxonomies | 302R00000X Health Maintenance Organization (Licence: NC 028418) |
| Enumeration Date | 2008-02-20 |
| Last Update Date | 2008-04-22 |