| NPI | 1982669339 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHNETTE CAROL SHULTZ CFO, Practice Administrator 336-714-6406 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine |
| Enumeration Date | 2006-04-19 |
| Last Update Date | 2010-01-06 |