| NPI | 1083700207 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GIRISH S MUNAVALLI Medical Director 704-375-6766 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology |
| Additional Taxonomies | 207ND0101X Dermatology, MOHS-Micrographic Surgery |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2007-12-26 |