| NPI | 1487100210 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC L MANSFIELD Partner 910-437-5857 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center Health Service |
| Additional Taxonomies | 261QM1300X Clinic/Center Multi-Specialty |
| 261QP2300X Clinic/Center Primary Care | |
| Enumeration Date | 2016-08-31 |
| Last Update Date | 2016-08-31 |