| NPI | 1013142488 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN WATSON DURHAM President 919-774-0502 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: NC 39413) |
| Additional Taxonomies | 261QP3300X Clinic/Center, Pain (Licence: NC 39413) |
| Enumeration Date | 2009-05-28 |
| Last Update Date | 2009-05-28 |