| NPI | 1306273750 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMRENDRA KUMAR Director 704-491-1102 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: SC 29114) |
| Enumeration Date | 2013-10-01 |
| Last Update Date | 2013-12-03 |