| NPI | 1831185321 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANN A LEWIS Fnp C Owner President 910-596-2400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NC 200386) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NC 200301225) |
| 207R00000X Internal Medicine (Licence: NC 200301225) | |
| Enumeration Date | 2005-09-21 |
| Last Update Date | 2020-08-22 |