| NPI | 1649663030 |
|---|---|
| Doing Business As | PRIMARY CARE OF ST. PAULS |
| Entity Type | Organization |
| Authorized Contact | LATICIA ANN THARRINGTON Owner 910-865-5177 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: NC 5000713) |
| Enumeration Date | 2015-03-10 |
| Last Update Date | 2015-08-27 |