| NPI | 1528353356 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID DONNELLY President 252-672-0095 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care |
| Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2011-06-09 |
| Last Update Date | 2015-01-12 |