| NPI | 1578303855 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMAL KHDOUR Clinic Coordinator 336-350-1642 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center, Community Health |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2024-05-25 |
| Last Update Date | 2024-05-25 |