| NPI | 1548346331 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIFFANY L. CONNER Insurance And Billing Manager 919-850-1300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC 201835) |
| 111N00000X Chiropractor (Licence: NC 2394) | |
| 207R00000X Internal Medicine (Licence: NC 930076) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: NC 0050-02018) | |
| Enumeration Date | 2006-10-27 |
| Last Update Date | 2023-03-07 |