| NPI | 1316227739 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RITA OBIAGELI NNAEMEKAOKOYEH Medical Director 336-574-8355 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center Primary Care (Licence: NC 2005-01548) |
| Enumeration Date | 2011-08-17 |
| Last Update Date | 2011-08-17 |