| NPI | 1225135361 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANE C CROWELL Business Manager 336-478-2666 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine |
| Additional Taxonomies | 207L00000X Anesthesiology |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2011-12-01 |