| NPI | 1083149330 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEDRIAN COLEMAN Director Revenue Cycle 919-709-0197 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty (Licence: SC SC18446) |
| Enumeration Date | 2017-04-25 |
| Last Update Date | 2021-08-25 |