| NPI | 1720794944 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRI JONES Director Of Eagle Business Services 336-274-6515 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 133V00000X Dietitian, Registered |
| Enumeration Date | 2023-01-31 |
| Last Update Date | 2024-02-19 |