| NPI | 1588252852 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHANNEL D DOBSON Family Nurse Practitioner 336-918-9429 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Additional Taxonomies | 251J00000X Nursing Care |
| 261QH0100X Clinic/Center, Health Services | |
| Enumeration Date | 2021-01-04 |
| Last Update Date | 2024-10-17 |