| NPI | 1700068053 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PEGGY S BARNHILL Medical Doctor 910-642-7463 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NC 200200639) |
| Enumeration Date | 2007-11-28 |
| Last Update Date | 2013-03-25 |