| 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 |