| NPI | 1558879221 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | APURVA TRIVEDI Chief Medical Officer 336-671-4511 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX P2800) |
| Enumeration Date | 2018-01-16 |
| Last Update Date | 2018-01-16 |