| NPI | 1245859636 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANJIE BLOUNT Gme Administrator 336-832-8468 |
| Organization Subpart ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2020-04-15 |
| Last Update Date | 2020-04-15 |