| NPI | 1134731227 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID WILLIAM ZAAS President 336-713-4944 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2020-08-19 |
| Last Update Date | 2025-10-17 |