| NPI | 1811963556 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EMILY MCNEILL LEDWELL Business Manager 336-629-6565 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: NC 39346) |
| Enumeration Date | 2006-02-23 |
| Last Update Date | 2020-08-22 |