| NPI | 1053906115 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHALA DAVIS Rcs Manager 704-303-7517 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VX0201X Obstetrics & Gynecology Gynecologic Oncology |
| Enumeration Date | 2021-03-01 |
| Last Update Date | 2021-07-19 |