| NPI | 1134184583 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY WAYNE MACASIEB Doctor 704-663-7500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 82291) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NC 82291) |
| Enumeration Date | 2006-04-19 |
| Last Update Date | 2015-03-24 |