| NPI | 1982420907 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHAN PARK Md Owner 919-448-6843 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology |
| Enumeration Date | 2024-11-25 |
| Last Update Date | 2024-11-25 |