| NPI | 1619426897 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KALSOOM KAUSAR KHAN President 336-380-5327 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: NC 200401242) |
| Enumeration Date | 2016-09-28 |
| Last Update Date | 2016-09-28 |