| NPI | 1780113191 |
|---|---|
| Former Legal Business Name | TRIAD WOMEN'S CENTER |
| Entity Type | Organization |
| Authorized Contact | ELEANOR ELAINE GREENE Doctor/Owner 336-841-6574 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology |
| Enumeration Date | 2017-06-08 |
| Last Update Date | 2022-07-21 |