| NPI | 1508931544 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY BLABON President & COO 336-277-8757 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2006-11-22 |
| Last Update Date | 2025-09-29 |