NPI | 1740516863 |
---|---|
Entity Type | Organization |
Authorized Contact | KIRSTEN S COX President/Owner 336-629-6500 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: NC 200200287) |
Enumeration Date | 2009-10-23 |
Last Update Date | 2018-06-13 |