| NPI | 1538538509 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH MARIE MULBERRY Medical Director 336-314-5489 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 200001414) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NC 200001414) |
| Enumeration Date | 2015-09-21 |
| Last Update Date | 2018-04-04 |