| NPI | 1639625106 |
|---|---|
| Doing Business As | SOUTHERN REGIONAL AHEC |
| Entity Type | Organization |
| Authorized Contact | SUSHMA KAPOOR VP Ceas 910-678-0100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center Primary Care (Licence: NC L004639) |
| Enumeration Date | 2016-08-25 |
| Last Update Date | 2016-08-25 |