| NPI | 1013379429 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROL MOORE Director 336-659-9440 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: NC 34108) |
| Enumeration Date | 2016-03-24 |
| Last Update Date | 2016-04-08 |