| NPI | 1093267577 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN HSIEH Physician 336-224-0931 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NC 5009067) |
| Enumeration Date | 2016-10-31 |
| Last Update Date | 2025-10-02 |