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 |