| NPI | 1942525613 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHERYL KOPP Office Manager 919-954-1404 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center Medical Specialty (Licence: NC 26292) |
| Enumeration Date | 2010-04-06 |
| Last Update Date | 2010-04-06 |