| NPI | 1013021377 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TEARRA RAYNOR Director Of Revenue Cycle 919-833-7526 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family |
| Additional Taxonomies | 261QA0005X Clinic/Center Ambulatory Family Planning Facility |
| 261QA0005X Clinic/Center Ambulatory Family Planning Facility | |
| Enumeration Date | 2006-08-17 |
| Last Update Date | 2025-09-05 |