| NPI | 1558582353 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANCES E. DECHURCH Owner 336-361-0244 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NC 9501225) |
| Additional Taxonomies | 207QG0300X Family Medicine, Geriatric Medicine (Licence: NC 9300679) |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2020-08-22 |