| NPI | 1528639689 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ZEN MENON CEO 910-219-8310 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 208000000X Pediatrics |
| 207R00000X Internal Medicine | |
| Enumeration Date | 2021-07-08 |
| Last Update Date | 2023-01-25 |