| NPI | 1285865329 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WAYLAND WILSON MCKENZIE President/Owner 336-273-8638 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: NC 19760) |
| Enumeration Date | 2009-08-06 |
| Last Update Date | 2012-05-10 |