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 |