| NPI | 1588937999 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RANDALL NORRIS GRANT Office Manager 336-609-3801 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: NC 200500050) |
| Enumeration Date | 2012-02-15 |
| Last Update Date | 2023-07-17 |