| NPI | 1932652807 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH DEWEY Owner/Physician 336-543-0786 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NC 200300141) |
| Enumeration Date | 2016-07-27 |
| Last Update Date | 2022-09-06 |