| NPI | 1306260021 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SOLA OGUNNIYI Physician Assistant 919-883-2108 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: NC 198788) |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2014-02-17 |
| Last Update Date | 2018-06-20 |