| NPI | 1003075219 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHY CHEEK Practice Manager 336-342-6060 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2008-06-03 |
| Last Update Date | 2022-04-18 |