NPI | 1417940636 |
---|---|
Doing Business As | YOUNG FAMILY PRACTICE |
Entity Type | Organization |
Authorized Contact | LEWIS S THORP President CEO 336-659-5116 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Enumeration Date | 2005-08-23 |
Last Update Date | 2020-08-22 |