| NPI | 1215468269 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HAROLD DEAN GREEN Member / Manager 336-389-3889 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: NC 200300814) |
| Enumeration Date | 2017-03-22 |
| Last Update Date | 2017-03-22 |