| NPI | 1427134196 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGEEN ERTISCHEK Insurance Processor 919-693-6541 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine |
| Enumeration Date | 2006-10-27 |
| Last Update Date | 2008-05-14 |