NPI | 1689746984 |
---|---|
Entity Type | Organization |
Authorized Contact | CRAIG A HOLTON Chief Operating Officer 252-633-1010 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
Enumeration Date | 2006-11-14 |
Last Update Date | 2020-08-22 |