NPI | 1538410386 |
---|---|
Doing Business As | CAROLINA FAMILY PRACTICE & SPORTS MEDICINE-RALEIGH |
Entity Type | Organization |
Authorized Contact | CHRISTOPHER THOMAS FREDERICK CFO 919-613-7762 |
Organization Subpart ? | No |
Primary Taxonomy | 207QS0010X Family Medicine, Sports Medicine |
Enumeration Date | 2012-09-19 |
Last Update Date | 2022-07-11 |