| NPI | 1023077211 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CONNELL COVINGTON Physician 919-881-9440 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080A0000X Pediatrics, Adolescent Medicine |
| Additional Taxonomies | 363A00000X Physician Assistant |
| 363LF0000X Nurse Practitioner, Family | |
| 363LP0200X Nurse Practitioner, Pediatrics | |
| Enumeration Date | 2006-03-17 |
| Last Update Date | 2021-04-13 |