| NPI | 1093146177 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIFFANY CONNER Billing Manager 919-850-1300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: NC 252852) |
| Enumeration Date | 2013-11-27 |
| Last Update Date | 2013-11-27 |