| NPI | 1265150494 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHERRY BEERS Practice Administrator 336-761-4020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| 363A00000X Physician Assistant | |
| Enumeration Date | 2022-08-15 |
| Last Update Date | 2025-03-25 |