| NPI | 1073712337 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | POONAM AJIMANI Office Manager 919-740-2864 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: NC 102462) |
| Enumeration Date | 2007-07-16 |
| Last Update Date | 2011-12-12 |