| NPI | 1912210865 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHASITY CHACE Director Of Business Office 910-341-3384 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NC 73991) |
| Enumeration Date | 2010-07-21 |
| Last Update Date | 2015-05-06 |