| NPI | 1538401161 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FAYEGH JADALI Physician 336-586-9799 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: NC 9700604) |
| Enumeration Date | 2013-03-21 |
| Last Update Date | 2013-03-21 |