| NPI | 1598796229 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAWN VALAIRE QUASHIE Member/President 910-488-2297 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center Medical Specialty |
| Enumeration Date | 2006-07-05 |
| Last Update Date | 2020-08-22 |