| NPI | 1104193432 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH K BOGGS CFO / Treasurer 336-832-8005 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 208000000X Pediatrics | |
| 208D00000X General Practice | |
| 207LH0002X Anesthesiology Hospice and Palliative Medicine | |
| 207PH0002X Emergency Medicine Hospice and Palliative Medicine | |
| 207QH0002X Family Medicine Hospice and Palliative Medicine | |
| 207VH0002X Obstetrics & Gynecology Hospice and Palliative Medicine | |
| 2080H0002X Pediatrics Hospice and Palliative Medicine | |
| 2081H0002X Physical Medicine & Rehabilitation Hospice and Palliative Medicine | |
| 2084H0002X Psychiatry & Neurology Hospice and Palliative Medicine | |
| 2085H0002X Radiology Hospice and Palliative Medicine | |
| 2086H0002X Surgery Hospice and Palliative Medicine | |
| 208M00000X Hospitalist | |
| 207RH0002X Internal Medicine Hospice and Palliative Medicine | |
| Enumeration Date | 2011-12-01 |
| Last Update Date | 2011-12-21 |