| NPI | 1912577628 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEATHER L. MERTZ Owner 336-480-4173 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VM0101X Obstetrics & Gynecology Maternal & Fetal Medicine |
| Enumeration Date | 2021-06-26 |
| Last Update Date | 2021-06-26 |