| NPI | 1770821233 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT LEE GOLDSTEIN Executive Vice President 336-832-6250 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology |
| Additional Taxonomies | 2084D0003X Psychiatry & Neurology Diagnostic Neuroimaging |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2013-01-17 |
| Last Update Date | 2013-03-05 |