| NPI | 1558114090 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MONIQUE BROWN Cmo 252-450-0753 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2083P0901X Preventive Medicine Public Health & General Preventive Medicine |
| Additional Taxonomies | 208D00000X General Practice |
| Enumeration Date | 2024-04-05 |
| Last Update Date | 2024-07-04 |