| NPI | 1245757665 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN PAUL HIGH EVP Health System Affairs 336-716-4724 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X |
| Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2017-08-25 |
| Last Update Date | 2017-08-25 |