| NPI | 1740348838 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL EDWARD BLOCKER President 336-584-5200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: NC 9600215) |
| Additional Taxonomies | 174400000X Specialist (Licence: NC 200600619) |
| Enumeration Date | 2006-12-04 |
| Last Update Date | 2011-04-19 |