NPI | 1467784488 |
---|---|
Entity Type | Organization |
Authorized Contact | ARBUS E LOCKLEAR Owner 910-734-5667 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 261QU0200X Clinic/Center, Urgent Care |
Enumeration Date | 2010-02-01 |
Last Update Date | 2012-04-27 |