| NPI | 1366821407 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OLUKAYODE OLUSEUN ONASANYA CEO 336-365-1001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: NC 2011-00255) |
| Enumeration Date | 2015-05-21 |
| Last Update Date | 2016-12-30 |