NPI | 1477197168 |
---|---|
Entity Type | Organization |
Authorized Contact | ABIMBOLA OGUNLEYE-KOLAWOLE President 910-779-0780 |
Organization Subpart ? | No |
Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care |
Additional Taxonomies | 261Q00000X Clinic/Center |
Enumeration Date | 2019-11-05 |
Last Update Date | 2023-08-30 |