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 |