| NPI | 1477104719 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHADWICK D MILLER Director Of Emergency Medicine 336-716-5599 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center Multi-Specialty |
| Enumeration Date | 2019-09-27 |
| Last Update Date | 2019-09-27 |