NPI | 1629464078 |
---|---|
Entity Type | Organization |
Authorized Contact | ADAM G WOLK Regional Medical Officer 919-803-4820 |
Organization Subpart ? | No |
Primary Taxonomy | 261Q00000X Clinic/Center |
Additional Taxonomies | 207R00000X Internal Medicine |
Enumeration Date | 2015-04-13 |
Last Update Date | 2022-05-24 |