| NPI | 1275773954 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA MARIE RAYMER Physician Assistant Certified 336-627-4896 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NC 0010-01723) |
| Enumeration Date | 2009-02-20 |
| Last Update Date | 2009-02-20 |