| NPI | 1811178635 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOUGLAS DEWITT BOYETTE President 252-937-7889 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: NC 28139) |
| Enumeration Date | 2007-11-20 |
| Last Update Date | 2007-11-20 |