| NPI | 1528525839 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LENIN J PETERS CEO 336-883-0029 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0000X Pain Medicine, Pain Medicine |
| Additional Taxonomies | 207N00000X Dermatology |
| 207Q00000X Family Medicine | |
| 207R00000X Internal Medicine | |
| 363A00000X Physician Assistant | |
| 363L00000X Nurse Practitioner | |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2019-02-22 |
| Last Update Date | 2022-08-29 |