| NPI | 1508021429 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT W. BAKER CAO 336-768-3530 |
| Organization Subpart ? | No |
| Primary Taxonomy | 202K00000X (Licence: NC 34813) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NC 34813) |
| Enumeration Date | 2008-07-21 |
| Last Update Date | 2014-09-17 |