| NPI | 1609066687 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY TED SMITH Part Owner 910-596-0093 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care (Licence: NC 9401340) |
| Enumeration Date | 2007-07-26 |
| Last Update Date | 2007-10-19 |