| NPI | 1972556934 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | INGRID Y PAYNE Chief Operation Officer 910-323-1481 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 261QU0200X Clinic/Center, Urgent Care |
| 261QP2300X Clinic/Center, Primary Care | |
| 261QX0100X Clinic/Center, Occupational Medicine | |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2008-04-20 |