| NPI | 1760027874 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL THOMAS Chief Operating Officer 910-685-7307 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
| 261QU0200X Clinic/Center, Urgent Care | |
| Enumeration Date | 2019-11-12 |
| Last Update Date | 2024-01-23 |