| NPI | 1740351279 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GERARDO M MARADIAGA Secretary Treasurer 252-537-0134 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2006-11-13 |
| Last Update Date | 2020-08-22 |