| NPI | 1447306113 |
|---|---|
| Other Name | PEDIATRIC PRIMARY CARE CLINIC |
| Entity Type | Organization |
| Authorized Contact | PAUL R. NEWMAN Executive Director 919-620-4855 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Additional Taxonomies | 208000000X Pediatrics |
| 251S00000X | |
| Enumeration Date | 2007-01-26 |
| Last Update Date | 2022-07-11 |