| NPI | 1740622166 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALBERTINA DENISE SMITH-BANKS Owner 919-876-5656 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080A0000X Pediatrics, Adolescent Medicine (Licence: NC 4451727) |
| Enumeration Date | 2013-07-26 |
| Last Update Date | 2013-07-26 |