| NPI | 1700845112 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BERNARD L BENNETT President 919-622-8272 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine (Licence: NC 36493) |
| Enumeration Date | 2006-03-23 |
| Last Update Date | 2013-10-31 |