| NPI | 1154588036 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HARRILL CHRISTOPHER COLEY Owner/President 336-617-8645 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center Medical Specialty (Licence: NC 2008-00266) |
| Enumeration Date | 2008-05-19 |
| Last Update Date | 2023-02-24 |