| NPI | 1528559671 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH B FISER VP Managed Care & Corporate Revenue 910-615-5572 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR1300X Clinic/Center Rural Health |
| Enumeration Date | 2018-05-24 |
| Last Update Date | 2023-11-19 |