NPI | 1659196889 |
---|---|
Entity Type | Organization |
Authorized Contact | JOHN ZACHARIAH HALL Owner/Medical Director 336-707-3596 |
Organization Subpart ? | No |
Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine |
Enumeration Date | 2024-11-21 |
Last Update Date | 2025-02-21 |