NPI | 1326065301 |
---|---|
Entity Type | Organization |
Authorized Contact | SHARON MARIE ANDERSON Office Manager 919-848-6388 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: NC 200000708) |
Enumeration Date | 2006-07-16 |
Last Update Date | 2020-08-22 |