| NPI | 1245462993 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERICA DAWN CARTER Qualified Professional 336-271-5888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 251S00000X |
| 363LF0000X Nurse Practitioner, Family | |
| 261QP2300X Clinic/Center, Primary Care | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 207QA0505X Family Medicine, Adult Medicine | |
| 207KA0200X Allergy & Immunology, Allergy | |
| Enumeration Date | 2009-08-13 |
| Last Update Date | 2015-04-15 |