| NPI | 1366409484 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AZEMOBO CHARLES AKHIMIEN President 704-864-5969 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 200000171) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: SC 23016) |
| 207R00000X Internal Medicine (Licence: GA 51287) | |
| Enumeration Date | 2006-05-01 |
| Last Update Date | 2011-07-26 |