| NPI | 1538127121 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICK L GODWIN President 336-599-9257 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 208000000X Pediatrics | |
| Enumeration Date | 2006-05-03 |
| Last Update Date | 2013-02-06 |