| NPI | 1538352760 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEMETRIUS R. HARDISON Practice Mgr. 919-596-3400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty |
| Enumeration Date | 2007-08-21 |
| Last Update Date | 2012-02-03 |