| NPI | 1679525380 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LOUISE M SMITH Chief Executive Officer 336-349-1141 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QA0505X Family Medicine Adult Medicine (Licence: NC 31528) |
| Additional Taxonomies | 208600000X Surgery (Licence: NC 26371) |
| 207QG0300X Family Medicine Geriatric Medicine (Licence: NC 31528) | |
| 207QA0505X Family Medicine Adult Medicine (Licence: NC 26371) | |
| 207QG0300X Family Medicine Geriatric Medicine (Licence: NC 26371) | |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2020-08-22 |