| NPI | 1003028655 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES PINCKNEY President 704-875-1026 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: 305R00000X) |
| Enumeration Date | 2007-05-04 |
| Last Update Date | 2020-08-22 |