| NPI | 1124440896 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON ANDERSON Director Of Operations 336-580-8499 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085U0001X Radiology, Diagnostic Ultrasound (Licence: NC 2005-01558) |
| Additional Taxonomies | 207RR0500X Internal Medicine, Rheumatology (Licence: NC 2005-01558) |
| Enumeration Date | 2014-01-14 |
| Last Update Date | 2021-05-06 |