| NPI | 1780828087 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOYCE ANN CARR Owner/Office Mgr. 910-214-5379 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: NC 8301972) |
| Enumeration Date | 2009-04-30 |
| Last Update Date | 2009-04-30 |