| NPI | 1245561745 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHILEATHA WYNN President/CEO 919-383-0003 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: NC 010-00919) |
| Enumeration Date | 2010-01-22 |
| Last Update Date | 2010-01-22 |