| NPI | 1649607342 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TOMEKIA B. SILVER Executive Manager 252-933-2199 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 163W00000X Registered Nurse |
| 164W00000X Licensed Practical Nurse | |
| 208000000X Pediatrics | |
| 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine | |
| 208D00000X General Practice | |
| 363A00000X Physician Assistant | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2013-09-26 |
| Last Update Date | 2013-09-26 |