NPI | 1508328816 |
---|---|
Entity Type | Organization |
Authorized Contact | LENIN J PETERS CEO 336-883-0029 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine |
Additional Taxonomies | 207N00000X Dermatology |
207Q00000X Family Medicine | |
207RC0000X Internal Medicine Cardiovascular Disease | |
Enumeration Date | 2019-04-04 |
Last Update Date | 2019-04-04 |