| NPI | 1790291219 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSHUA SCOTT SIKES Owner / Doctor 910-547-4020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: NC 2174) |
| Enumeration Date | 2017-12-20 |
| Last Update Date | 2017-12-20 |