| NPI | 1619936952 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JIM R. HODGE Practice Administator 336-885-6168 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease |
| Enumeration Date | 2006-03-23 |
| Last Update Date | 2007-09-04 |