NPI | 1669410783 |
---|---|
Entity Type | Organization |
Authorized Contact | MANJEET KAUR ACHREJA Owner 336-873-7248 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health (Licence: NC 29458) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: NC 29458) |
261QM1300X Clinic/Center, Multi-Specialty (Licence: NC 63868) | |
Enumeration Date | 2006-06-02 |
Last Update Date | 2013-11-27 |