| NPI | 1861678120 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAN SICKING President 919-562-4441 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: NC 9300396) |
| Enumeration Date | 2008-01-17 |
| Last Update Date | 2008-01-24 |