| NPI | 1194060368 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HENRY FRANKLIN TRIPP Medical Director 336-993-3146 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NC 40655) |
| Enumeration Date | 2012-11-29 |
| Last Update Date | 2012-12-13 |