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 |