| NPI | 1780453464 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES TODD WILLIAMS Owner 336-625-8410 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology |
| Additional Taxonomies | 363A00000X Physician Assistant |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2023-12-22 |
| Last Update Date | 2024-02-06 |