NPI | 1407038615 |
---|---|
Entity Type | Organization |
Authorized Contact | TIMOTHY TAFT Medical Director Sports Medicine 919-966-3655 |
Organization Subpart ? | No |
Primary Taxonomy | 261QS1000X Clinic/Center, Student Health (Licence: NC RN 159674) |
Enumeration Date | 2007-11-29 |
Last Update Date | 2007-11-29 |