| NPI | 1912134859 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES T. JOHNSON CFO 910-671-5090 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center Urgent Care (Licence: NC H0064) |
| Enumeration Date | 2009-06-18 |
| Last Update Date | 2009-06-18 |