| NPI | 1891650073 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE MARTINEZ Owner 336-701-0313 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Additional Taxonomies | 261QX0100X Clinic/Center, Occupational Medicine |
| Enumeration Date | 2025-12-19 |
| Last Update Date | 2026-02-03 |