| NPI | 1770872871 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHRAF GB MIKHAIL CEO, Owner 910-938-1114 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NC 200200418) |
| 2084N0400X Psychiatry & Neurology, Neurology | |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| Enumeration Date | 2011-03-30 |
| Last Update Date | 2013-04-04 |