| NPI | 1063692515 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BILL JACK PARKER Owner/President 704-276-9200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NC 38402) |
| Enumeration Date | 2007-11-13 |
| Last Update Date | 2009-11-10 |