| NPI | 1578439857 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PENNY RODRIGUEZ Credentialing Manager 336-448-9100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VE0102X Obstetrics & Gynecology, Reproductive Endocrinology |
| Enumeration Date | 2025-10-14 |
| Last Update Date | 2025-10-14 |