| NPI | 1902188964 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MORGAN A TODD Physician 910-278-3500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: NC 200701097) |
| Additional Taxonomies | 251B00000X Case Management (Licence: NC 200701097) |
| Enumeration Date | 2011-09-15 |
| Last Update Date | 2011-09-15 |