| NPI | 1124636667 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC SHAPIRO President 704-763-2151 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| Enumeration Date | 2020-07-21 |
| Last Update Date | 2020-07-21 |