| NPI | 1871674697 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN MICHAEL SEDDON Owner 910-892-1068 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NC 29663) |
| Additional Taxonomies | 208800000X Urology (Licence: NC 22319) |
| Enumeration Date | 2006-10-18 |
| Last Update Date | 2010-04-27 |