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 |