| NPI | 1972198570 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KURWA NEEMAT NYIGU Medical Director 336-624-7164 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 207RA0401X Internal Medicine, Addiction Medicine | |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| Enumeration Date | 2021-03-05 |
| Last Update Date | 2021-03-05 |