| NPI | 1558652784 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE DENISE COLLINS-OGLE Medical Director 252-572-2610 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center Community Health (Licence: NC 1077723) |
| Additional Taxonomies | 207RI0200X Internal Medicine Infectious Disease |
| Enumeration Date | 2011-04-21 |
| Last Update Date | 2024-12-04 |