| NPI | 1952736035 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY R RAGSDALE Owner 336-242-1228 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: NC 200200060) |
| Enumeration Date | 2013-09-09 |
| Last Update Date | 2013-09-09 |