NPI | 1093081762 |
---|---|
Entity Type | Organization |
Authorized Contact | KURIAN CHIRAMEL ABRAHAM Medical Director 704-817-8331 |
Organization Subpart ? | No |
Primary Taxonomy | 2084P0805X Psychiatry & Neurology, Geriatric Psychiatry (Licence: NC 200100821) |
Additional Taxonomies | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: NC 200100821) |
2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NC 200100821) | |
Enumeration Date | 2012-03-28 |
Last Update Date | 2020-10-05 |