| NPI | 1538120910 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHRN BUETTLE Chief Of Staff 336-768-3296 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NC 600091) |
| Enumeration Date | 2006-03-28 |
| Last Update Date | 2020-08-22 |