| NPI | 1609188044 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOYCE E FUCHS Office Manager 910-462-4624 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: NC 0418100) |
| Enumeration Date | 2010-07-13 |
| Last Update Date | 2010-07-13 |