NPI | 1518142280 |
---|---|
Entity Type | Organization |
Authorized Contact | RANSFORD AUTHURBURY NEIL President 336-774-2194 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: NC 2005-01450) |
Enumeration Date | 2007-12-31 |
Last Update Date | 2021-12-17 |