| NPI | 1679745434 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFERY S ANDERSON President 252-808-3696 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: NC 39759) |
| Enumeration Date | 2008-04-01 |
| Last Update Date | 2008-05-21 |