NPI | 1386195865 |
---|---|
Entity Type | Organization |
Authorized Contact | DAVID MOYE Director 919-614-0301 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 207R00000X Internal Medicine |
207VG0400X Obstetrics & Gynecology, Gynecology | |
208000000X Pediatrics | |
363A00000X Physician Assistant | |
363L00000X Nurse Practitioner | |
Enumeration Date | 2016-10-19 |
Last Update Date | 2021-07-14 |