| NPI | 1972949949 |
|---|---|
| Doing Business As | GLEN RAVEN MEDICAL CARE CENTER |
| Entity Type | Organization |
| Authorized Contact | ROBERT LEE GOLDSTEIN Executive Vice President 336-832-6250 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 363L00000X Nurse Practitioner | |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2013-05-17 |
| Last Update Date | 2013-05-17 |