| NPI | 1679818413 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GILBERT DOMINGO ARENAS Physician 910-719-4043 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NC NC35256) |
| Enumeration Date | 2012-12-05 |
| Last Update Date | 2023-07-05 |