| NPI | 1053084202 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRITTANY A. MCKINNEY Chief Executive Officer 919-646-4858 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 207QH0002X Family Medicine, Hospice and Palliative Medicine | |
| Enumeration Date | 2021-07-25 |
| Last Update Date | 2024-09-11 |