| NPI | 1841469590 |
|---|---|
| Doing Business As | SALEM FAMILY PRACTICE AT GATEWAY |
| Entity Type | Organization |
| Authorized Contact | MICHELE GRIER VP Operations 336-277-2421 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 363A00000X Physician Assistant |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2008-02-27 |
| Last Update Date | 2008-02-27 |