| NPI | 1386158616 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RANDOLPH SCOTT Owner 919-977-7095 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology |
| Additional Taxonomies | 261QM2500X Clinic/Center, Medical Specialty |
| Enumeration Date | 2017-11-22 |
| Last Update Date | 2021-08-02 |