| NPI | 1407907264 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHLEY HAGWOOD ANDERSON Physician Extender 919-250-1561 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP0905X Clinic/Center, Public Health, State or Local (Licence: NC 9500575) |
| Enumeration Date | 2007-01-16 |
| Last Update Date | 2007-08-06 |