NPI | 1033185780 |
---|---|
Entity Type | Organization |
Authorized Contact | LINDA PRICE Administrative Assistant 336-846-7238 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: NC 58262) |
Enumeration Date | 2006-02-23 |
Last Update Date | 2009-06-30 |