| NPI | 1932134848 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID MASTERSON CEO 910-862-5179 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty (Licence: NC H0154) |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2020-08-22 |