| NPI | 1053953125 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARANY JEGANATTH Founder, General Manager 919-961-2204 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 204R00000X Electrodiagnostic Medicine |
| 207R00000X Internal Medicine | |
| 208D00000X General Practice | |
| Enumeration Date | 2019-10-10 |
| Last Update Date | 2019-10-10 |