NPI | 1730505462 |
---|---|
Entity Type | Organization |
Authorized Contact | ERIC L DEAN President 336-207-7768 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine |
Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care (Licence: NC 25680) |
Enumeration Date | 2014-03-05 |
Last Update Date | 2024-02-28 |