| NPI | 1295900793 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HATTIE MURPHY Area Director 704-527-6322 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 208000000X Pediatrics |
| Enumeration Date | 2008-04-25 |
| Last Update Date | 2008-04-25 |