NPI | 1316280415 |
---|---|
Doing Business As | WESTERN WAKE WELLNESS |
Entity Type | Organization |
Authorized Contact | DAVID MOYE Executive Director 919-851-2174 |
Organization Subpart ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine |
Enumeration Date | 2013-03-27 |
Last Update Date | 2014-02-05 |