| NPI | 1033398599 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEANNA CRAVEN JONSE Md/Practice Owner 919-563-3007 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NC 207Q00000X) |
| Enumeration Date | 2007-10-31 |
| Last Update Date | 2010-09-07 |