NPI | 1366656746 |
---|---|
Entity Type | Organization |
Authorized Contact | PRAKASH N KHOT Doctor 336-838-9990 |
Organization Subpart ? | No |
Primary Taxonomy | 305S00000X Point of Service (Licence: NC 19016) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: NC 19016) |
Enumeration Date | 2007-05-09 |
Last Update Date | 2008-05-20 |