| NPI | 1639278757 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LOUISE B. MORRIS Credentialing Coordinator 919-859-1136 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2010-08-10 |