| NPI | 1295191104 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIM REED Office Manager 336-765-6897 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 15953) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NC 102078) |
| 363LF0000X Nurse Practitioner, Family (Licence: NC 5006328) | |
| Enumeration Date | 2016-01-07 |
| Last Update Date | 2016-01-07 |