| NPI | 1568642445 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CONNIE LYNN BROOKS-FERNANDEZ Officer/President 910-867-7777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center Primary Care (Licence: NC 9701262) |
| Enumeration Date | 2007-11-08 |
| Last Update Date | 2014-12-01 |