| NPI | 1033162557 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHIRAPA SINTHUSEK Owner 336-765-6897 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty (Licence: NC 18717) |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2014-10-13 |