| NPI | 1144468083 |
|---|---|
| Doing Business As | KERNERSVILLE PEDIATRICS |
| Entity Type | Organization |
| Authorized Contact | SCOTT ERIC TOLLEY Practice Administrator 336-765-9000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NC 36479) |
| Enumeration Date | 2009-01-30 |
| Last Update Date | 2009-01-30 |