| NPI | 1245429794 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARLENE PHILIBERT DOUGHERTY Manager 704-541-9002 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 9300686) |
| Enumeration Date | 2007-10-22 |
| Last Update Date | 2023-02-06 |