| NPI | 1497947261 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXANDER T. AUGOUSTIDES Owner 336-760-0240 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center Primary Care (Licence: NC 36139) |
| Enumeration Date | 2007-08-15 |
| Last Update Date | 2007-08-15 |