| NPI | 1558766501 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERICA LINDSEY COX Office Administrator 336-648-8550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: NC 36016) |
| Additional Taxonomies | 291U00000X Clinical Medical Laboratory (Licence: NC 36016) |
| Enumeration Date | 2014-11-01 |
| Last Update Date | 2023-06-21 |