| NPI | 1255624540 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANGEETHA POTU Physician 704-778-0161 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: NC 2010-01503) |
| Enumeration Date | 2011-05-19 |
| Last Update Date | 2011-05-19 |