| NPI | 1528614369 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUZETTE N BROWN Chief Operating Officer 919-491-3448 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2019-08-16 |
| Last Update Date | 2024-07-30 |