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, Bariatric Medicine (Licence: NC 9900644) | |
208000000X Pediatrics (Licence: NC 9900644) | |
Enumeration Date | 2016-01-06 |
Last Update Date | 2016-01-06 |