| NPI | 1619220035 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN SHADOWENS CFO 336-627-8512 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2083P0500X Preventive Medicine Preventive Medicine/Occupational Environmental Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2012-10-23 |
| Last Update Date | 2023-06-16 |