| NPI | 1548274327 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELE GRIER VP Operations 336-472-1191 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 208D00000X General Practice | |
| 363A00000X Physician Assistant | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2006-07-28 |
| Last Update Date | 2008-08-14 |