NPI | 1982615282 |
---|---|
Entity Type | Organization |
Authorized Contact | KATHLEEN HALM Practice Administrator 336-634-3902 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 207R00000X Internal Medicine |
208000000X Pediatrics | |
Enumeration Date | 2006-08-11 |
Last Update Date | 2008-10-13 |