| NPI | 1164849188 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER JOHNSON Doctor 919-876-2212 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: NC 1523) |
| Enumeration Date | 2014-03-27 |
| Last Update Date | 2014-03-27 |