| NPI | 1013210517 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENT SEITZ Owner/President 704-844-0181 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 207QA0000X Family Medicine, Adolescent Medicine |
| Enumeration Date | 2010-12-06 |
| Last Update Date | 2015-09-11 |