NPI | 1750557237 |
---|---|
Entity Type | Organization |
Authorized Contact | DAVID MASTERSON CEO 910-862-5178 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QM1300X Clinic/Center Multi-Specialty (Licence: NC H0154) |
Enumeration Date | 2008-05-05 |
Last Update Date | 2008-05-05 |