| NPI | 1952981391 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REGINA YOST Owner 910-548-1589 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2021-04-09 |
| Last Update Date | 2023-05-03 |