| NPI | 1962466631 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THERESA WALKER JEFFERS Adminstration 919-786-5001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080A0000X Pediatrics, Adolescent Medicine |
| Enumeration Date | 2006-04-12 |
| Last Update Date | 2017-03-21 |