| NPI | 1659460624 |
|---|---|
| Other Name | CLINIC CENTER MEDICAL SPECIALTY |
| Entity Type | Organization |
| Authorized Contact | JOSEPH B BASS Administrative Assistant 336-751-8700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty |
| 261QM2500X Clinic/Center, Medical Specialty | |
| 261QP0905X Clinic/Center, Public Health, State or Local | |
| 291U00000X Clinical Medical Laboratory | |
| 3336C0002X Pharmacy, Clinic Pharmacy (Licence: NC 04465) | |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2020-08-22 |