| NPI | 1912614215 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANET WOODALL Credentialing Manager 336-932-3506 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163WI0500X Registered Nurse, Infusion Therapy |
| Additional Taxonomies | 207RR0500X Internal Medicine, Rheumatology |
| Enumeration Date | 2022-11-04 |
| Last Update Date | 2023-04-21 |