| NPI | 1104882752 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIRKWOOD T SHULTZ Owner 704-895-8478 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism |
| Enumeration Date | 2006-04-24 |
| Last Update Date | 2007-12-05 |