| NPI | 1093152761 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TODD A SMITH President 336-372-1666 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: NC 1643) |
| Enumeration Date | 2013-06-04 |
| Last Update Date | 2013-06-04 |