| NPI | 1821214552 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAULETTE K. INGRAM President 252-537-1400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: NC 28419) |
| Enumeration Date | 2007-04-18 |
| Last Update Date | 2012-07-17 |