| NPI | 1053691907 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROGER L. GREER Owner 336-846-2424 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: NC HAL-005-014) |
| Enumeration Date | 2011-08-24 |
| Last Update Date | 2011-08-24 |