| NPI | 1023413051 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES HUSON Member 704-574-2129 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: NC 101599) |
| Enumeration Date | 2014-11-04 |
| Last Update Date | 2014-11-04 |