| NPI | 1003110677 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANE T LUTZ Manager Payer Privileging 704-362-5391 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology |
| Enumeration Date | 2010-12-22 |
| Last Update Date | 2018-03-17 |