| NPI | 1336640945 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BILLY RAY WEST CEO 704-939-1100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2018-02-28 |
| Last Update Date | 2018-04-04 |