| NPI | 1215325279 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES BEAUCHAMP Owner 919-967-9932 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: NC 20100) |
| Enumeration Date | 2014-12-29 |
| Last Update Date | 2015-05-15 |