| NPI | 1598048175 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC J LUTTMER VP Medical Services 910-343-0145 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2011-09-21 |
| Last Update Date | 2023-08-18 |