| NPI | 1336182096 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTY LYNN COCKMAN Office Coordinator 336-629-7710 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 18490) |
| Enumeration Date | 2006-06-13 |
| Last Update Date | 2010-07-12 |