| NPI | 1093083248 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH M LOMMEL Owner 919-663-3137 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: NC 1731) |
| Enumeration Date | 2011-12-02 |
| Last Update Date | 2011-12-02 |