| NPI | 1487487807 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARAH MARIE GORE Owner 910-726-9976 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2024-08-21 |
| Last Update Date | 2025-06-27 |