| NPI | 1184926024 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMREEN AZEEM Incorporator 919-387-8885 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NC 2006-01349) |
| Enumeration Date | 2010-11-29 |
| Last Update Date | 2011-01-14 |