| NPI | 1134317605 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MENDY BARLOW Insurance Manager 704-682-0943 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NC 9700002) |
| Enumeration Date | 2007-10-10 |
| Last Update Date | 2008-05-23 |