| NPI | 1225576242 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHETAN AMIN Office Manager/Owner 704-636-5626 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: NC 0010-07063) |
| Additional Taxonomies | 314000000X Skilled Nursing Facility (Licence: NC 0010-07063) |
| Enumeration Date | 2017-02-09 |
| Last Update Date | 2017-02-10 |