| NPI | 1699711572 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH S WARD Chief Financial Officer 336-832-8005 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207QS0010X Family Medicine Sports Medicine |
| 207R00000X Internal Medicine | |
| 207RG0100X Internal Medicine Gastroenterology | |
| 207X00000X Orthopaedic Surgery | |
| 208000000X Pediatrics | |
| Enumeration Date | 2006-06-21 |
| Last Update Date | 2020-08-22 |