| NPI | 1811341027 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHAN ORTON Owner 919-809-8860 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: NC 2014-01078) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NC 102815) |
| Enumeration Date | 2016-04-14 |
| Last Update Date | 2016-06-01 |