| NPI | 1740673946 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GENEVIEVE SANATRA FAISON-ALSTON Medical Doctor 919-435-1099 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NC 9901171) |
| Enumeration Date | 2015-03-12 |
| Last Update Date | 2015-06-26 |