| NPI | 1437910510 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY FOX Owner 919-946-0604 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080P0204X Pediatrics Pediatric Emergency Medicine |
| Additional Taxonomies | 207PP0204X Emergency Medicine Pediatric Emergency Medicine |
| Enumeration Date | 2024-01-17 |
| Last Update Date | 2024-01-17 |