| NPI | 1326317629 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NNEKA WILLIAMS Director 704-206-1258 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 207R00000X Internal Medicine | |
| Enumeration Date | 2011-12-16 |
| Last Update Date | 2011-12-16 |