| NPI | 1447928957 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WANETT T MIMS President 919-654-7309 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology |
| 208000000X Pediatrics | |
| Enumeration Date | 2021-08-31 |
| Last Update Date | 2021-08-31 |