| NPI | 1376635086 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC L DEAN President 336-954-1007 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: NC 53129) |
| Enumeration Date | 2006-09-29 |
| Last Update Date | 2020-08-22 |