| NPI | 1457469165 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONNA L BOWEN Administrative Assistant 910-862-5500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NC 29651) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 22998) |
| 207R00000X Internal Medicine (Licence: NC 200101455) | |
| Enumeration Date | 2006-08-25 |
| Last Update Date | 2008-08-18 |