| NPI | 1912234683 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROLINE C PROCHNAU President/Owner 336-633-3073 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 2000-01522) |
| Enumeration Date | 2009-11-17 |
| Last Update Date | 2011-01-11 |