| NPI | 1154559581 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAN PHILLIPS Member Manager 336-330-0400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: NC 158222) |
| Enumeration Date | 2009-06-24 |
| Last Update Date | 2009-06-24 |