| NPI | 1770885139 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH C CARTER Owner 919-735-5757 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0002X Clinic/Center, Emergency Care (Licence: NC 20113) |
| Enumeration Date | 2010-11-17 |
| Last Update Date | 2011-12-22 |