| NPI | 1669511143 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD MORGAN LONG Owner 919-751-8444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 204D00000X Neuromusculoskeletal Medicine & OMM (Licence: NC 107402) |
| Enumeration Date | 2007-02-05 |
| Last Update Date | 2020-08-22 |