| NPI | 1407026297 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID JAMES HENDERSON President 336-274-2711 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: NC 26011) |
| Enumeration Date | 2008-03-07 |
| Last Update Date | 2023-03-07 |