| NPI | 1316082076 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELLIOTT J VIZEL Clinical Director 704-924-9423 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NC 9600416) |
| Enumeration Date | 2007-02-20 |
| Last Update Date | 2011-07-15 |