| NPI | 1821429259 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES S WILKINSON Secretary/Treasurer 252-261-4187 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NC 25507) |
| Enumeration Date | 2013-12-11 |
| Last Update Date | 2013-12-11 |