| NPI | 1285099804 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC SEMEKO Physician 704-617-2649 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: NC 200400163) |
| Enumeration Date | 2015-12-25 |
| Last Update Date | 2015-12-25 |