| NPI | 1518943257 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER LYNN HEWITT Office Manager 252-338-4117 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Additional Taxonomies | 261QM2500X Clinic/Center, Medical Specialty (Licence: NC 16929) |
| Enumeration Date | 2005-12-15 |
| Last Update Date | 2021-11-02 |