| NPI | 1689891350 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHILIP A CLAYTON Authorized Offical 336-882-4615 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163WP0000X Registered Nurse, Pain Management |
| Enumeration Date | 2007-04-20 |
| Last Update Date | 2020-08-22 |