| NPI | 1831168103 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELINDA M HINMAN Office Administrator 910-323-9111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NC 60921) |
| Enumeration Date | 2006-03-17 |
| Last Update Date | 2007-10-17 |