| NPI | 1912031873 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IDA DAWSON Physician Assistant 919-250-4629 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP0905X Clinic/Center Public Health, State or Local |
| Enumeration Date | 2007-03-15 |
| Last Update Date | 2020-08-22 |