| NPI | 1144511460 |
|---|---|
| Doing Business As | MEDCENTER URGENT CARE KERNERSVILLE |
| Entity Type | Organization |
| Authorized Contact | KENNETH K. BOGGS CFO & Treasurer 336-832-8005 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207QS0010X Family Medicine, Sports Medicine |
| 207R00000X Internal Medicine | |
| 2083S0010X Preventive Medicine, Sports Medicine | |
| 2085R0202X Radiology, Diagnostic Radiology | |
| Enumeration Date | 2011-04-20 |
| Last Update Date | 2011-04-20 |