| NPI | 1265919674 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLOTTE NG Medical Director 810-428-6227 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease |
| Enumeration Date | 2018-07-27 |
| Last Update Date | 2018-11-07 |