NPI | 1558633651 |
---|---|
Entity Type | Organization |
Authorized Contact | AMANDA C. AUSTIN Physician 252-441-5038 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: NC 9601219) |
Enumeration Date | 2012-02-03 |
Last Update Date | 2012-02-03 |