NPI | 1275598690 |
---|---|
Entity Type | Organization |
Authorized Contact | JODI RAYMER MARANGONE Practice Administrator 704-792-1000 |
Organization Subpart ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology |
Enumeration Date | 2006-04-19 |
Last Update Date | 2008-01-14 |