| NPI | 1164438578 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SALLY P HAMMOND Executive Director, Operations 336-663-5007 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 207R00000X Internal Medicine | |
| 207RC0000X Internal Medicine, Cardiovascular Disease | |
| 363A00000X Physician Assistant | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2018-05-04 |