| NPI | 1922281385 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHANDA ANNETTE GRIESSEL Manager 336-760-2240 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: NC 200301236) |
| Enumeration Date | 2007-12-07 |
| Last Update Date | 2012-06-28 |