| NPI | 1003788456 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEEA WALTON M Anager 336-515-7085 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine |
| Enumeration Date | 2025-09-23 |
| Last Update Date | 2025-09-23 |