NPI | 1598011173 |
---|---|
Doing Business As | WSP WELLNESS FAMILY PRACTICE |
Entity Type | Organization |
Authorized Contact | SUSAN TUCKER WEAVER Executive Vice President 919-350-8228 |
Organization Subpart ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 207R00000X Internal Medicine |
Enumeration Date | 2012-08-01 |
Last Update Date | 2012-08-01 |