| NPI | 1336296698 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMANTHA HONAKER TURNER Practice Manager 336-605-0190 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NC 9500061) |
| Enumeration Date | 2007-01-05 |
| Last Update Date | 2019-09-16 |