| NPI | 1356933261 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHUQIN YAN Partner 704-839-6996 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207QA0401X Family Medicine, Addiction Medicine |
| Enumeration Date | 2021-02-11 |
| Last Update Date | 2021-03-04 |