| NPI | 1497755953 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TOUBER VANG President 910-572-1785 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NC 200201193) |
| Additional Taxonomies | 261QR1300X Clinic/Center, Rural Health |
| Enumeration Date | 2005-07-27 |
| Last Update Date | 2022-11-17 |