| NPI | 1528554631 |
|---|---|
| Doing Business As | BETHANY MEDICAL PAIN CLINIC |
| Entity Type | Organization |
| Authorized Contact | LENIN J PETERS CEO 336-883-0029 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 208VP0000X Pain Medicine, Pain Medicine |
| Enumeration Date | 2018-07-02 |
| Last Update Date | 2020-02-27 |