| NPI | 1770552069 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM JAMES STACKHOUSE Managing Partner 919-734-9455 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty |
| Enumeration Date | 2006-03-17 |
| Last Update Date | 2010-08-12 |