| NPI | 1710453550 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LENIN J PETERS CEO 336-883-0029 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207N00000X Dermatology |
| 207LP2900X Anesthesiology, Pain Medicine | |
| 207R00000X Internal Medicine | |
| 207RC0000X Internal Medicine, Cardiovascular Disease | |
| 207RG0100X Internal Medicine, Gastroenterology | |
| 207RP1001X Internal Medicine, Pulmonary Disease | |
| 2084N0400X Psychiatry & Neurology, Neurology | |
| Enumeration Date | 2018-10-19 |
| Last Update Date | 2025-10-13 |