| NPI | 1184790446 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBRA KAY ALFORD Trustee 336-667-8228 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QA0505X Family Medicine, Adult Medicine (Licence: NC 200200002) |
| Enumeration Date | 2006-11-28 |
| Last Update Date | 2020-08-22 |