| NPI | 1184776130 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN ROBERT BAUER President 704-540-1640 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NC 2006-01723) |
| Enumeration Date | 2007-01-18 |
| Last Update Date | 2011-08-18 |