| 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 |