| NPI | 1609260942 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BYRON GLADDEN Practice Manager 336-907-3006 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 95-01417) |
| Enumeration Date | 2015-03-25 |
| Last Update Date | 2017-11-30 |