| NPI | 1326000845 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLARENCE O'NEIL ELLIS President 704-372-9393 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 83588) |
| Enumeration Date | 2006-04-03 |
| Last Update Date | 2018-04-03 |