NPI | 1982820999 |
---|---|
Entity Type | Organization |
Authorized Contact | GREGORY H WLODARSKI Owner 910-295-2900 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: NC 9501458) |
Enumeration Date | 2007-04-18 |
Last Update Date | 2020-08-22 |