| NPI | 1851600159 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHASITY CHACE Director Of Finance 910-341-3384 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NC 73991) |
| Enumeration Date | 2010-10-04 |
| Last Update Date | 2015-05-07 |