| NPI | 1316930654 |
|---|---|
| Doing Business As | PINE RIDGE FAMILY PRACTICE |
| Entity Type | Organization |
| Authorized Contact | LEWIS S THORP President CEO 336-721-3900 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2005-08-23 |
| Last Update Date | 2008-04-11 |