| NPI | 1881863082 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BETTY L MARTIN-WATSON CEO 336-391-5701 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: NC 900278) |
| Additional Taxonomies | 251S00000X (Licence: NC 102293) |
| Enumeration Date | 2008-02-21 |
| Last Update Date | 2010-06-30 |