| NPI | 1275329344 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT RISSMILLER President 704-631-0002 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2025-04-16 |
| Last Update Date | 2025-04-16 |