| NPI | 1730579848 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | UMBREEN CHAUDHARY Owner 336-633-4034 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 200400470) |
| Additional Taxonomies | 208600000X Surgery (Licence: NC 9501252) |
| Enumeration Date | 2015-01-27 |
| Last Update Date | 2018-04-27 |