NPI | 1013093038 |
---|---|
Entity Type | Organization |
Authorized Contact | HEATHER HILL Practice Manager 704-341-9600 |
Organization Subpart ? | No |
Primary Taxonomy | 174400000X Specialist |
Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty |
Enumeration Date | 2006-10-31 |
Last Update Date | 2024-04-10 |