| NPI | 1780453464 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES TODD WILLIAMS Owner 336-625-8410 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology |
| Additional Taxonomies | 207ZD0900X Pathology, Dermatopathology |
| Enumeration Date | 2023-12-22 |
| Last Update Date | 2025-10-29 |