NPI | 1073737953 |
---|---|
Entity Type | Organization |
Authorized Contact | DANIEL J BERNSTEIN Owner 704-467-7783 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: NC 34951) |
Enumeration Date | 2007-04-12 |
Last Update Date | 2020-08-22 |