| NPI | 1649492232 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL WORTMAN President, Owner 336-893-8423 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: NC 126743) |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2017-11-27 |