| NPI | 1295106110 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEOFFERY K GARDNER VP Of Finance 704-384-7605 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207P00000X Emergency Medicine |
| Enumeration Date | 2015-10-19 |
| Last Update Date | 2018-02-14 |