| NPI | 1083972541 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL WIENS Senior Vice President 704-355-0648 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology |
| Enumeration Date | 2012-05-02 |
| Last Update Date | 2012-05-02 |