| NPI | 1336185842 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAWN MCCULLEN Practice Administrator 919-735-9146 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207YS0012X |
| Additional Taxonomies | 207Y00000X Otolaryngology |
| 207YX0602X Otolaryngology, Otolaryngic Allergy | |
| Enumeration Date | 2006-06-22 |
| Last Update Date | 2010-02-08 |