| NPI | 1326404344 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VENUS IDETTE PITTS Owner 919-416-4700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 9900644) |
| Additional Taxonomies | 207RA0401X Internal Medicine Addiction Medicine (Licence: NC 9900644) |
| 207RB0002X Internal Medicine Obesity Medicine (Licence: NC 9900644) | |
| 208000000X Pediatrics (Licence: NC 9900644) | |
| Enumeration Date | 2016-01-06 |
| Last Update Date | 2016-01-06 |