| NPI | 1679998348 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GWENDOLYN KNUCKLES Owner 252-830-1035 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease |
| 207VG0400X Obstetrics & Gynecology, Gynecology | |
| 207UN0901X Nuclear Medicine, Nuclear Cardiology | |
| 207RS0012X Internal Medicine, Sleep Medicine | |
| Enumeration Date | 2014-03-04 |
| Last Update Date | 2025-10-28 |