| NPI | 1962521690 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGE SHERMAN THURMOND Doctor 336-226-7357 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: NC 1402) |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2010-12-07 |