| NPI | 1093737173 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIPEN R. SHAH President 919-468-6820 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 261QH0100X Clinic/Center, Health Services (Licence: NC 200000306) |
| Enumeration Date | 2006-07-24 |
| Last Update Date | 2019-12-27 |