| NPI | 1780629154 |
|---|---|
| Doing Business As | CLINTON MEDICAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | MATTHEW Q. ROBINSON Practice Administrator 910-590-0619 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 208000000X Pediatrics | |
| 363A00000X Physician Assistant | |
| 363L00000X Nurse Practitioner | |
| 363LF0000X Nurse Practitioner Family | |
| 363LP0200X Nurse Practitioner Pediatrics | |
| Enumeration Date | 2006-06-18 |
| Last Update Date | 2022-07-08 |