NPI | 1063426716 |
---|---|
Entity Type | Organization |
Authorized Contact | JANICE MILLER Office Manager 919-556-6761 |
Organization Subpart ? | No |
Primary Taxonomy | 302F00000X Exclusive Provider Organization (Licence: NC 5531) |
Enumeration Date | 2006-07-28 |
Last Update Date | 2007-09-04 |