| NPI | 1447240320 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWARD G HILL Md/Physician 336-661-5979 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site |
| Additional Taxonomies | 174400000X Specialist (Licence: NC 26263) |
| Enumeration Date | 2005-10-24 |
| Last Update Date | 2024-04-16 |