| NPI | 1386483717 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRA KAMP Owner/Member Manager 336-663-3822 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| 363A00000X Physician Assistant | |
| Enumeration Date | 2024-05-24 |
| Last Update Date | 2025-10-16 |