| NPI | 1740320076 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WADE R TURLINGTON Medical Director 910-577-1555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302F00000X Exclusive Provider Organization (Licence: NC 16475) |
| Enumeration Date | 2007-02-07 |
| Last Update Date | 2007-09-25 |