| NPI | 1760428551 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSH LEWIS Practice Administrator 336-625-1172 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center Primary Care (Licence: NC 200200287) |
| Enumeration Date | 2006-06-21 |
| Last Update Date | 2022-02-01 |