| NPI | 1063403160 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLENE LYDIA BLAINE President 919-359-9920 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine Pulmonary Disease (Licence: NC 9500533) |
| Additional Taxonomies | 207RS0012X Internal Medicine Sleep Medicine (Licence: NC 9500533) |
| 2278P1004X Respiratory Therapist, Certified Pulmonary Diagnostics (Licence: NC A-4125) | |
| Enumeration Date | 2005-10-31 |
| Last Update Date | 2008-06-16 |