| NPI | 1154587103 |
|---|---|
| Doing Business As | CORNELIUS FAMILY MEDICINE |
| Entity Type | Organization |
| Authorized Contact | DANIEL L. WIENS Sr. Vice President 704-355-0648 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2008-07-30 |
| Last Update Date | 2008-10-14 |