| NPI | 1891739678 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DALE E. WHITE Owner 919-217-1411 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: NC 101583) |
| Enumeration Date | 2006-06-15 |
| Last Update Date | 2020-08-22 |