| NPI | 1639352032 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES HENRY PRIDGEN Medical Director 910-640-2009 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2007-12-10 |
| Last Update Date | 2025-06-09 |