| NPI | 1982662854 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALLEN GREENE MASK Medical Director 919-231-3131 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 26453) |
| Enumeration Date | 2006-05-02 |
| Last Update Date | 2020-08-22 |