| NPI | 1922142066 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARI F. BEALE Corporate Secretary 910-895-0444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: NC 96-00276) |
| Enumeration Date | 2007-02-19 |
| Last Update Date | 2020-08-22 |