| NPI | 1710171871 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARON P. JOHNSON President 336-896-1323 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: NC 8302013) |
| Additional Taxonomies | 251S00000X (Licence: NC 8302013B) |
| 251S00000X (Licence: NC 8302013G) | |
| 251S00000X (Licence: NC 8302013H) | |
| Enumeration Date | 2007-08-31 |
| Last Update Date | 2013-09-16 |