| NPI | 1437857604 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON ANDERSON Director Of Operations 336-580-8499 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine Rheumatology |
| Enumeration Date | 2023-02-17 |
| Last Update Date | 2023-02-17 |