| NPI | 1306861042 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PETER M ZIOLKOWSKI Practice Director 336-510-9873 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2022-07-21 |