| NPI | 1922290881 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHILIP DOUGLAS BURTON Single Member 919-554-0177 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: 29232) |
| Enumeration Date | 2007-08-15 |
| Last Update Date | 2008-02-25 |