| NPI | 1275692667 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM JAMES MOUNTFORD Practice Administrator 919-782-1255 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: NC 200001388680) |
| Enumeration Date | 2006-12-08 |
| Last Update Date | 2020-08-22 |