| 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 |