| NPI | 1528102449 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SABRINA MARIE MENTOCK President 919-544-6461 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NC 38139) |
| Enumeration Date | 2007-02-16 |
| Last Update Date | 2008-11-11 |