| NPI | 1063571040 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTIN T FISHER Practice Administrator 919-875-0539 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NC 84061) |
| Enumeration Date | 2006-12-06 |
| Last Update Date | 2020-08-22 |