| NPI | 1902963937 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HENRY W TRAYLOR President 910-642-6121 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NC 20979) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 24304) |
| 208000000X Pediatrics (Licence: NC 39134) | |
| Enumeration Date | 2007-01-02 |
| Last Update Date | 2024-02-22 |