| NPI | 1043689565 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELONIE MARSH Co Owner 919-946-4712 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NC 9901279) |
| Additional Taxonomies | 208D00000X General Practice (Licence: NC 9901279) |
| Enumeration Date | 2015-09-15 |
| Last Update Date | 2015-09-16 |