| NPI | 1679832737 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JORDAN TERRELL YOUNG Physician 252-258-6375 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care (Licence: FL ME112761) |
| Enumeration Date | 2012-05-10 |
| Last Update Date | 2024-05-23 |