| NPI | 1003156670 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY ENTRY Practice Manager 919-557-6667 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 9901648) |
| Enumeration Date | 2013-02-19 |
| Last Update Date | 2018-07-23 |