| NPI | 1457617623 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAYMOND M HARRELL Owner/Provider 919-439-7867 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0000X Pain Medicine, Pain Medicine (Licence: NC 201100560) |
| Enumeration Date | 2012-04-02 |
| Last Update Date | 2012-04-02 |