| NPI | 1740940790 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER MAZUREK Dnp, Fnp Bc 252-903-9974 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1300X Clinic/Center Rural Health |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2021-12-17 |
| Last Update Date | 2024-05-15 |