| NPI | 1629343280 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRANNON PARMER Owner/Doctor 251-580-4145 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: AL 2217) |
| Enumeration Date | 2012-03-15 |
| Last Update Date | 2012-03-15 |