| NPI | 1265868806 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD EDWARDS VP 919-793-8898 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 2080A0000X Pediatrics, Adolescent Medicine |
| Enumeration Date | 2013-09-14 |
| Last Update Date | 2014-01-15 |