NPI | 1447214242 |
---|---|
Entity Type | Organization |
Authorized Contact | SHARON AHEARN Practice Administrator 919-467-5543 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: NC 40214) |
Enumeration Date | 2006-04-17 |
Last Update Date | 2024-01-05 |