NPI | 1285884833 |
---|---|
Entity Type | Organization |
Authorized Contact | BHAVANI LAGADAPATI Md 919-297-0348 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: NC 2007-01007) |
Additional Taxonomies | 261QU0200X Clinic/Center, Urgent Care (Licence: NC 2007-01007) |
Enumeration Date | 2008-09-19 |
Last Update Date | 2018-12-10 |