| NPI | 1750424925 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CYNTHIA GOINS Practice Manager 919-851-1136 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NC 29353) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: VA 0101047216) |
| 2080P0214X Pediatrics, Pediatric Pulmonology (Licence: NC 29353) | |
| 2080P0214X Pediatrics, Pediatric Pulmonology (Licence: VA 0101047216) | |
| Enumeration Date | 2007-02-15 |
| Last Update Date | 2020-08-22 |