NPI | 1891583662 |
---|---|
Entity Type | Organization |
Authorized Contact | SHEEKETA BELLAMY SMITH Owner 910-918-1328 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center Primary Care |
Additional Taxonomies | 261QU0200X Clinic/Center Urgent Care |
Enumeration Date | 2025-04-30 |
Last Update Date | 2025-04-30 |