| NPI | 1285697532 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GINA B RAMSEY Vice President, Financial Managemen 336-716-3005 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC H0011) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NC H0011) |
| 133V00000X Dietitian, Registered (Licence: NC H0011) | |
| Enumeration Date | 2006-04-08 |
| Last Update Date | 2009-04-02 |