| NPI | 1225578792 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RACHEL HIATT Director Central Billing 336-783-8452 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology |
| Enumeration Date | 2017-03-03 |
| Last Update Date | 2025-05-21 |