| NPI | 1245879261 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL WAYNE SLEDGE CFO 919-966-4161 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2019-12-23 |
| Last Update Date | 2023-10-06 |