| NPI | 1497071526 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATIE LOWRY President 910-674-4203 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080A0000X Pediatrics, Adolescent Medicine (Licence: NC 200300493) |
| Enumeration Date | 2010-04-14 |
| Last Update Date | 2015-04-14 |