| NPI | 1336416460 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER THOMAS FREDERICK CFO 919-613-7762 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207KA0200X Allergy & Immunology Allergy |
| Additional Taxonomies | 207LC0200X Anesthesiology Critical Care Medicine |
| 207LP2900X Anesthesiology Pain Medicine | |
| 207ND0101X Dermatology MOHS-Micrographic Surgery | |
| 207ND0900X Dermatology Dermatopathology | |
| 207PE0004X Emergency Medicine Emergency Medical Services | |
| 207Q00000X Family Medicine | |
| 207R00000X Internal Medicine | |
| 207V00000X Obstetrics & Gynecology | |
| 208800000X Urology | |
| 208M00000X Hospitalist | |
| Enumeration Date | 2011-11-17 |
| Last Update Date | 2022-05-18 |