| NPI | 1306323951 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARTHA GRACE PATEL Owner/Physician 336-252-2085 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: NC 2014-01892) |
| Enumeration Date | 2018-07-26 |
| Last Update Date | 2018-08-09 |