| NPI | 1942433065 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARON L. THORNTON Md 336-803-1445 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: NC 127136) |
| Enumeration Date | 2009-08-25 |
| Last Update Date | 2012-11-15 |