NPI | 1669907929 |
---|---|
Entity Type | Organization |
Authorized Contact | HOKE WARD POLLOCK Managing Member 910-620-2259 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: NC 200401564) |
Enumeration Date | 2017-04-25 |
Last Update Date | 2017-04-25 |