| NPI | 1104819754 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL BRENT FERRELL President/Physician 704-482-1482 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RA0000X Internal Medicine, Adolescent Medicine |
| Enumeration Date | 2005-08-30 |
| Last Update Date | 2011-03-21 |