| NPI | 1053636472 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS FORD LAYMON Senior Vice President 704-631-0002 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207N00000X Dermatology |
| 207RA0201X Internal Medicine, Allergy & Immunology | |
| 207RC0000X Internal Medicine, Cardiovascular Disease | |
| 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism | |
| 207RG0100X Internal Medicine, Gastroenterology | |
| 207RP1001X Internal Medicine, Pulmonary Disease | |
| 207RS0010X Internal Medicine, Sports Medicine | |
| 208100000X Physical Medicine & Rehabilitation | |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2010-03-29 |
| Last Update Date | 2016-08-10 |