| NPI | 1942632393 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANNON M LEE Corp Acct Mgr 336-541-6475 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NC 251259) |
| 251B00000X Case Management | |
| Enumeration Date | 2013-08-07 |
| Last Update Date | 2020-02-11 |