| NPI | 1801137435 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SALLY PATRICIA HAMMOND Executive Director Operations 336-663-5007 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2013-03-06 |
| Last Update Date | 2018-05-10 |