| NPI | 1821135773 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANET COOKE JARRETT Executive Director 252-255-6005 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NC 9401185) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NC 168637) |
| Enumeration Date | 2007-01-31 |
| Last Update Date | 2020-08-22 |