| NPI | 1922248251 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEROME V PONDER CEO 910-480-4880 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care (Licence: NC 9900735) |
| Enumeration Date | 2009-02-26 |
| Last Update Date | 2009-02-26 |