| NPI | 1770138984 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW QUAY ROBINSON Practice Administrator 910-590-0619 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207QH0002X Family Medicine, Hospice and Palliative Medicine |
| Enumeration Date | 2019-08-05 |
| Last Update Date | 2023-11-27 |