| NPI | 1114572534 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAG GILL CEO 704-295-3400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology |
| Additional Taxonomies | 207W00000X Ophthalmology |
| Enumeration Date | 2019-08-02 |
| Last Update Date | 2024-01-18 |