| NPI | 1861986267 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANA CEIDE HODGES President 910-483-2646 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care |
| Additional Taxonomies | 208000000X Pediatrics |
| Enumeration Date | 2018-06-19 |
| Last Update Date | 2019-04-01 |