| NPI | 1740626548 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT CURTIS MCKAY Owner 919-605-4226 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center Health Service (Licence: NC 4229) |
| Enumeration Date | 2013-05-20 |
| Last Update Date | 2013-05-21 |