NPI | 1720303795 |
---|---|
Entity Type | Organization |
Authorized Contact | LAURA KATHERINE BLISS President 919-563-4444 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: NC 9500018) |
Enumeration Date | 2010-04-02 |
Last Update Date | 2010-05-25 |