| NPI | 1881877959 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROL A HENRY-SMITH Owner 336-293-3371 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine Geriatric Medicine (Licence: NC 145913) |
| Enumeration Date | 2007-12-12 |
| Last Update Date | 2010-01-28 |