| NPI | 1114704558 |
|---|---|
| Doing Business As | STATESVILLE INTERNAL MEDICINE |
| Entity Type | Organization |
| Authorized Contact | JOANIE M COCHRAN Credentialing 336-306-9755 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2023-09-11 |
| Last Update Date | 2024-10-01 |