| NPI | 1659196889 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN ZACHARIAH HALL Owner/Medical Director 336-792-1536 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine Geriatric Medicine |
| Enumeration Date | 2024-11-21 |
| Last Update Date | 2025-03-26 |