NPI | 1942730452 |
---|---|
Entity Type | Organization |
Authorized Contact | JACKIE GREENE Administrator 336-841-6954 |
Organization Subpart ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NC 13552) |
Enumeration Date | 2017-06-16 |
Last Update Date | 2022-07-21 |