| NPI | 1316303076 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LENIN PETERS President/CEO 336-883-0029 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: NC 103837) |
| 207N00000X Dermatology (Licence: NC 36839) | |
| 207Q00000X Family Medicine | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NC 2013-01110) | |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: NC 101104) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NC 35265) | |
| 363A00000X Physician Assistant | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2016-01-12 |
| Last Update Date | 2016-01-20 |