| NPI | 1124007620 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD J FORSYTH President 919-878-8596 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: NC 40821) |
| Enumeration Date | 2006-01-12 |
| Last Update Date | 2020-08-22 |