| NPI | 1821168055 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AUDREY L SUTTON-SURAK President 910-686-1099 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NC 68426) |
| Enumeration Date | 2006-11-08 |
| Last Update Date | 2018-08-06 |