| NPI | 1346398435 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEOFFREY GARDNER VP Of Finance 704-384-9094 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207N00000X Dermatology |
| 207R00000X Internal Medicine | |
| 207RE0101X Internal Medicine Endocrinology, Diabetes & Metabolism | |
| 207V00000X Obstetrics & Gynecology | |
| 207VM0101X Obstetrics & Gynecology Maternal & Fetal Medicine | |
| 207VX0201X Obstetrics & Gynecology Gynecologic Oncology | |
| 208000000X Pediatrics | |
| 2080N0001X Pediatrics Neonatal-Perinatal Medicine | |
| 2080P0202X Pediatrics Pediatric Cardiology | |
| 2080P0207X Pediatrics Pediatric Hematology-Oncology | |
| 2084N0400X Psychiatry & Neurology Neurology | |
| 2084P0800X Psychiatry & Neurology Psychiatry | |
| 2084P0804X Psychiatry & Neurology Child & Adolescent Psychiatry | |
| 363A00000X Physician Assistant | |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2011-10-06 |