| NPI | 1851143523 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PEGGY BADDOUR President/Owner 910-742-9243 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 208D00000X General Practice | |
| 363A00000X Physician Assistant | |
| 363L00000X Nurse Practitioner | |
| 363LF0000X Nurse Practitioner, Family | |
| 363LG0600X Nurse Practitioner, Gerontology | |
| 363LP2300X Nurse Practitioner, Primary Care | |
| Enumeration Date | 2024-04-04 |
| Last Update Date | 2024-04-04 |