| NPI | 1275015794 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEREMY PATTERSON CEO/Pharmacist 336-541-6475 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 251B00000X Case Management |
| 363LF0000X Nurse Practitioner, Family (Licence: NC 5004403) | |
| Enumeration Date | 2018-08-31 |
| Last Update Date | 2020-02-11 |