| NPI | 1245210707 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EMILY GROCE SHOEMAKER Credentialing Coordinator 336-277-8874 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology |
| Additional Taxonomies | 207RH0000X Internal Medicine, Hematology |
| 207RX0202X Internal Medicine, Medical Oncology | |
| 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology | |
| 363AM0700X Physician Assistant, Medical | |
| 363L00000X Nurse Practitioner | |
| 363LA2100X Nurse Practitioner, Acute Care | |
| 363LW0102X Nurse Practitioner, Women's Health | |
| Enumeration Date | 2006-01-20 |
| Last Update Date | 2010-03-02 |