| NPI | 1982834602 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARNOLD L SOBOL President 910-762-2020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302F00000X Exclusive Provider Organization (Licence: NC 0463) |
| Enumeration Date | 2009-07-15 |
| Last Update Date | 2009-07-15 |