| NPI | 1700911278 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYNN B. EVERHART Director 336-277-2433 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 363A00000X Physician Assistant |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2007-02-23 |
| Last Update Date | 2020-08-22 |