NPI | 1891163457 |
---|---|
Entity Type | Organization |
Authorized Contact | JULIE ROSE BARR Anp 336-446-1141 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty |
Enumeration Date | 2015-09-11 |
Last Update Date | 2024-05-23 |