Organization Name: | UNIVERSITY OF NORTH CAROLINA AT CHAPEL HILL |
NPI Number: | 1437182615 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ROBERT LOUIS GIANFORCARO (MEDICAL DIRECTOR) |
Mailing Address: | 163 Medical Park Dr Suite 210 Siler City |
State: | NC US |
Postal Code: | 273446790 |
Phone Number: | 9197426032 |
Fax Number: | |
NPI Enumeration Date: | 07/09/2006 |
NPI Last Update Date: | 10/16/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QP2300X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Primary Care |
Taxonomy Definition: |