| NPI | 1477788297 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON BROWNING SANDERS Provider/Physician 336-369-7100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: NC 9801464) |
| Additional Taxonomies | 261QM2500X Clinic/Center, Medical Specialty (Licence: NC 2005-00329) |
| 207W00000X Ophthalmology (Licence: NC 2005-00329) | |
| Enumeration Date | 2009-05-22 |
| Last Update Date | 2014-06-10 |