NPI | 1609066158 |
---|---|
Entity Type | Organization |
Authorized Contact | KAREN LINNEAR SMITH Physician/Owner 910-904-1695 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care (Licence: NC NC33894) |
Enumeration Date | 2007-07-31 |
Last Update Date | 2024-11-22 |