| NPI | 1770921322 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VENUS I PITTS Owner 919-401-1999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2013-06-05 |
| Last Update Date | 2014-01-10 |