| NPI | 1144575929 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HENRY FRANKLIN TRIPP Director 336-993-3146 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine (Licence: NC 32185) |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care (Licence: NC 32185) |
| Enumeration Date | 2012-07-18 |
| Last Update Date | 2012-12-12 |