| NPI | 1306268594 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMEELAH MELTON Physician/Owner 919-349-1839 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NC 200701056) |
| Additional Taxonomies | 2080A0000X Pediatrics, Adolescent Medicine (Licence: NC 200701056) |
| Enumeration Date | 2014-01-08 |
| Last Update Date | 2014-01-08 |