| NPI | 1083089742 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACQUES C JEAN Principal Owner 704-453-1444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: NC 5007327) |
| Enumeration Date | 2015-12-07 |
| Last Update Date | 2015-12-07 |