| NPI | 1457828253 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRESA A LONG President 910-663-2273 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207LA0401X Anesthesiology, Addiction Medicine |
| 207LP2900X Anesthesiology, Pain Medicine | |
| Enumeration Date | 2018-10-30 |
| Last Update Date | 2025-01-30 |