| NPI | 1013304211 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WAYNE JEROME HARP Owner 704-334-6370 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: NC 101599) |
| Additional Taxonomies | 261QH0100X Clinic/Center, Health Services (Licence: NC 101599) |
| Enumeration Date | 2015-04-25 |
| Last Update Date | 2015-04-25 |