| NPI | 1063526002 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TONYA B. RIBELIN Co Owner / Administrator 336-421-7341 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center Primary Care (Licence: NC FCL-017-039) |
| Enumeration Date | 2006-08-18 |
| Last Update Date | 2020-08-22 |