NPI | 1023397171 |
---|---|
Doing Business As | KNIGHTDALE FAMILY MEDICINE |
Entity Type | Organization |
Authorized Contact | ROBERT L GIANFORCARO Director 919-923-0660 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 207QA0505X Family Medicine, Adult Medicine |
363A00000X Physician Assistant | |
Enumeration Date | 2011-08-08 |
Last Update Date | 2012-06-28 |