| NPI | 1013572213 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHONDRA LYNN BRINK VP Of Operations 919-350-6045 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 261QU0200X Clinic/Center Urgent Care |
| Enumeration Date | 2019-05-03 |
| Last Update Date | 2021-01-15 |