| NPI | 1023727542 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEEA JEANINE WALTON Rcs Manager 704-316-6081 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology |
| Enumeration Date | 2022-11-23 |
| Last Update Date | 2024-06-20 |