| NPI | 1598547010 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARTINA STACEY RATLIFF Owner 336-803-4111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2023-10-18 |
| Last Update Date | 2024-09-19 |