| NPI | 1033463500 |
|---|---|
| Doing Business As | DPC WAVERLY PLACE |
| Entity Type | Organization |
| Authorized Contact | ELIZABETH R LONG Divisional COO 919-812-5537 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2012-11-05 |
| Last Update Date | 2023-09-11 |