| NPI | 1831249986 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TINA MAY Billing Supervisor 910-433-3809 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251K00000X Public Health or Welfare |
| Additional Taxonomies | 251B00000X Case Management |
| 261Q00000X Clinic/Center | |
| 261QD0000X Clinic/Center Dental | |
| 261QF0050X Clinic/Center Family Planning, Non-Surgical | |
| 261QM2500X Clinic/Center Medical Specialty | |
| 261QP0905X Clinic/Center Public Health, State or Local | |
| 261QP0905X Clinic/Center Public Health, State or Local | |
| 261QP2300X Clinic/Center Primary Care | |
| 291U00000X Clinical Medical Laboratory | |
| 363AM0700X Physician Assistant Medical | |
| 363LP0200X Nurse Practitioner Pediatrics | |
| 363LW0102X Nurse Practitioner Women's Health | |
| 363LX0001X Nurse Practitioner Obstetrics & Gynecology | |
| Enumeration Date | 2007-01-11 |
| Last Update Date | 2023-08-03 |