NPI | 1336526383 |
---|---|
Entity Type | Organization |
Authorized Contact | ROBERT W GARDNER Owner/Provider 919-504-4000 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: NC 200201082) |
Enumeration Date | 2015-04-29 |
Last Update Date | 2015-12-18 |