| NPI | 1336455674 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM R MITCHELL Owner/Md 704-945-6843 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: NC 34407) |
| Additional Taxonomies | 174400000X Specialist (Licence: NC 34407) |
| 3336S0011X Pharmacy, Specialty Pharmacy (Licence: NC 13089) | |
| Enumeration Date | 2010-08-24 |
| Last Update Date | 2021-08-27 |