NPI | 1518283613 |
---|---|
Entity Type | Organization |
Authorized Contact | EDWIN AZIEGBE AVBUERE Medical Director 336-617-2377 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 2001-01168) |
Enumeration Date | 2010-04-14 |
Last Update Date | 2010-04-14 |