| NPI | 1790444933 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LARRY HENSON Rcd 336-944-6420 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine |
| Additional Taxonomies | 208M00000X Hospitalist |
| 207Q00000X Family Medicine | |
| 207R00000X Internal Medicine | |
| 2085R0202X Radiology, Diagnostic Radiology | |
| 208600000X Surgery | |
| Enumeration Date | 2021-12-15 |
| Last Update Date | 2022-07-01 |