| NPI | 1649960873 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHAD LEE LAMBETH Owner 251-626-6757 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 261QM1300X Clinic/Center Multi-Specialty |
| Enumeration Date | 2023-05-10 |
| Last Update Date | 2023-05-10 |