| NPI | 1548267453 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KOFI ADELEKE DOONQUAH Physician 336-347-7998 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NC 200000774) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: VA 0101226371) |
| Enumeration Date | 2005-07-07 |
| Last Update Date | 2020-04-14 |