| NPI | 1548462963 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LESIA S MISENHEIMER Office Manager 336-629-5989 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology |
| Enumeration Date | 2007-06-05 |
| Last Update Date | 2022-05-25 |