| NPI | 1457389033 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER THOMAS FREDERICK CFO 919-613-7762 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Additional Taxonomies | 207K00000X Allergy & Immunology |
| 207N00000X Dermatology | |
| 207P00000X Emergency Medicine | |
| 207Q00000X Family Medicine | |
| 207R00000X Internal Medicine | |
| 207V00000X Obstetrics & Gynecology | |
| 207W00000X Ophthalmology | |
| 207X00000X Orthopaedic Surgery | |
| 207Y00000X Otolaryngology | |
| 208000000X Pediatrics | |
| 2084N0400X Psychiatry & Neurology Neurology | |
| 2085R0202X Radiology Diagnostic Radiology | |
| 208800000X Urology | |
| 208D00000X General Practice | |
| Enumeration Date | 2006-06-30 |
| Last Update Date | 2022-07-11 |