| NPI | 1851481089 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TINA STARLING Clinic Administrator 252-335-6527 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1100X Clinic/Center Military/U.S. Coast Guard Outpatient |
| Enumeration Date | 2006-10-16 |
| Last Update Date | 2020-08-22 |