| NPI | 1124066832 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHERRY LYNN CLAY Assistant Administrator 336-841-1259 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease |
| Enumeration Date | 2006-06-03 |
| Last Update Date | 2020-08-22 |