| NPI | 1356433155 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIRSTEN H. AVERY Physician 919-787-3448 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: NC 108015) |
| Enumeration Date | 2006-09-29 |
| Last Update Date | 2009-03-06 |