| NPI | 1962809269 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BEN HANCOCK President 910-630-7164 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: NC 103047) |
| Enumeration Date | 2014-12-02 |
| Last Update Date | 2014-12-02 |