| NPI | 1124469903 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTI WOODS EDWARDS Co Owner/Manager 919-234-1582 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NY 200100109) |
| Enumeration Date | 2013-07-09 |
| Last Update Date | 2014-05-12 |