| NPI | 1790676872 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMMY SHERRON VP Finance/CFO 252-633-8880 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2025-07-15 |
| Last Update Date | 2025-08-12 |