NPI | 1679521983 |
---|---|
Entity Type | Organization |
Authorized Contact | LAWRENCE DAVID KRABILL President 252-237-2891 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 90900464) |
Additional Taxonomies | 261QU0200X Clinic/Center, Urgent Care (Licence: 261QUO200X) |
207Q00000X Family Medicine (Licence: NC 25535) | |
207Q00000X Family Medicine (Licence: NC 94-00464) | |
Enumeration Date | 2006-05-05 |
Last Update Date | 2011-04-04 |