| NPI | 1154624831 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON WILLIAMS CEO, Eastern Region 919-550-0821 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2010-12-17 |
| Last Update Date | 2013-08-22 |