| NPI | 1720192651 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARCUS W GILLIKIN Consultant 252-353-7162 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine (Licence: NC 31614) |
| Enumeration Date | 2006-08-18 |
| Last Update Date | 2020-08-22 |