NPI | 1114435724 |
---|---|
Entity Type | Organization |
Authorized Contact | BRITTIAN WOOD BEAVER President 704-262-3338 |
Organization Subpart ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NC 9801163) |
Enumeration Date | 2018-01-17 |
Last Update Date | 2018-06-16 |