| NPI | 1356695456 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN SHADOWENS CFO 336-627-8512 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2083X0100X Preventive Medicine Occupational Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2012-10-29 |
| Last Update Date | 2023-06-16 |