| NPI | 1255334181 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDRA C THOMPSON Cpc, Do 336-349-5040 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 363A00000X Physician Assistant | |
| Enumeration Date | 2005-05-24 |
| Last Update Date | 2018-03-22 |