| NPI | 1194393769 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NGONDA'YEBENIT NZELLE NGO MAYEBA Administrator 828-430-9120 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 251S00000X | |
| Enumeration Date | 2021-06-11 |
| Last Update Date | 2024-09-11 |