| NPI | 1992821482 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BONNIE DONLEYCOTT Office Manager 919-872-0390 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 174400000X Specialist (Licence: NC 200400893) |
| Enumeration Date | 2007-03-22 |
| Last Update Date | 2011-01-12 |