NPI | 1407977804 |
---|---|
Entity Type | Organization |
Authorized Contact | THELLIE RUPERT AINSLEY President 919-774-4163 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 25545) |
Enumeration Date | 2007-04-03 |
Last Update Date | 2009-03-16 |