| NPI | 1689790081 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORRAINE FAITH BIRMINGHAM President 919-875-0504 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NC 27773) |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2020-08-22 |