| NPI | 1578127023 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORETTA BURTON Director 919-735-1387 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QH0002X Family Medicine, Hospice and Palliative Medicine |
| Enumeration Date | 2019-04-30 |
| Last Update Date | 2019-04-30 |