| NPI | 1316943145 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTINE N KEARNS Practice Administrator 336-934-5070 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207NI0002X Dermatology, Clinical & Laboratory Dermatological Immunology (Licence: NC 34D0238143) |
| Enumeration Date | 2005-06-27 |
| Last Update Date | 2021-03-24 |