| NPI | 1053533687 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PENNY S DIXON Co Owner 336-623-8900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center Health Service (Licence: NC 830) |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2020-08-22 |