| NPI | 1710657770 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL GREGORY MOLYNEUX Director Of Client Services 251-338-2942 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Additional Taxonomies | 261QC1800X |
| 261QU0200X Clinic/Center, Urgent Care | |
| 261QX0100X Clinic/Center, Occupational Medicine | |
| Enumeration Date | 2021-09-20 |
| Last Update Date | 2021-09-20 |