| NPI | 1326224585 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIE JACQUES MARILYN AMBROISE Medical Director Physicians Assist 919-477-4800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: NC 103679) |
| Enumeration Date | 2008-01-17 |
| Last Update Date | 2008-01-17 |