| NPI | 1659811479 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL GREGORY MOLYNEUX Procurement Manager 251-338-2942 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1800X |
| Additional Taxonomies | 261QH0100X Clinic/Center, Health Services |
| 261QP2300X Clinic/Center, Primary Care | |
| Enumeration Date | 2017-02-27 |
| Last Update Date | 2017-02-27 |