| NPI | 1942578554 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VENUS IDETTE PITTS Owner 919-416-4700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 145584) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NC 145584) |
| Enumeration Date | 2011-12-09 |
| Last Update Date | 2015-03-13 |