| NPI | 1710603014 |
|---|---|
| Other Name | INDIAN CREEK HEALTH |
| Entity Type | Organization |
| Authorized Contact | SANDRA KOLB Provider 910-339-4674 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2022-10-18 |
| Last Update Date | 2022-10-18 |