| NPI | 1134371594 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PETER MARIO MOHR CEO 919-226-3694 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: NC 2006-00963) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| 363L00000X Nurse Practitioner | |
| 207RI0200X Internal Medicine, Infectious Disease | |
| 207RG0300X Internal Medicine, Geriatric Medicine | |
| 208000000X Pediatrics | |
| 208600000X Surgery | |
| 207L00000X Anesthesiology | |
| 207RR0500X Internal Medicine, Rheumatology | |
| 293D00000X Physiological Laboratory | |
| 247100000X Radiologic Technologist | |
| 163W00000X Registered Nurse | |
| 163WI0500X Registered Nurse, Infusion Therapy | |
| 163WX0200X Registered Nurse, Oncology | |
| 261QI0500X Clinic/Center, Infusion Therapy | |
| Enumeration Date | 2008-10-16 |
| Last Update Date | 2010-06-18 |