| NPI | 1225312945 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH NEVITTA COMMA-WATSON Billing Manager 336-286-5505 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care |
| Enumeration Date | 2011-09-29 |
| Last Update Date | 2016-05-25 |