| NPI | 1629048871 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHILLIP KEVIN DORTON President 336-475-6139 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NC 39470) |
| Enumeration Date | 2006-01-23 |
| Last Update Date | 2017-08-14 |