| NPI | 1427487099 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN SMITH Credentialing COO Rdinator 919-342-6842 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: NC 2010-00095) |
| Enumeration Date | 2013-11-05 |
| Last Update Date | 2023-08-14 |