| NPI | 1295930865 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROL A. TRAKIMAS Medical Director 919-573-9030 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: NC 200100287) |
| Enumeration Date | 2007-06-15 |
| Last Update Date | 2018-05-07 |