NPI | 1205262995 |
---|---|
Entity Type | Organization |
Authorized Contact | MARISA TESTANI Administrator 919-698-8010 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty |
261QU0200X Clinic/Center, Urgent Care | |
Enumeration Date | 2013-09-25 |
Last Update Date | 2021-10-29 |