| NPI | 1043287469 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAG S GILL CEO 704-295-3400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology |
| Additional Taxonomies | 152W00000X Optometrist |
| 207Y00000X Otolaryngology | |
| Enumeration Date | 2006-03-03 |
| Last Update Date | 2024-01-23 |