| NPI | 1104047877 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RENEE PILGRIM Practice Manager 919-571-4391 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2083P0500X Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine (Licence: NC 31614) |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2020-08-22 |