| 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 |