| NPI | 1023415981 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRIEDA MILLER LOWDER Sr Vice President 704-403-1780 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2084N0402X Psychiatry & Neurology Neurology with Special Qualifications in Child Neurology |
| Enumeration Date | 2014-11-20 |
| Last Update Date | 2014-11-20 |