| NPI | 1992032403 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRACIE MAEDER Practice Manager 919-465-4455 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: NC 94-00622) |
| Enumeration Date | 2009-11-05 |
| Last Update Date | 2009-11-05 |