| NPI | 1790976496 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGE SEMPLE Division Surgeon 910-451-8372 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1102X Clinic/Center, Military Outpatient Operational (Transportable) Component |
| Enumeration Date | 2007-08-07 |
| Last Update Date | 2007-08-07 |