| NPI | 1114205457 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AUGUSTINE U OBI Owner 704-664-2910 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine Endocrinology, Diabetes & Metabolism (Licence: NC 9400602) |
| Enumeration Date | 2011-08-03 |
| Last Update Date | 2012-09-26 |