| NPI | 1366433773 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OLUFOLARIN AKANFE AJAO Co President 704-861-9030 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 9501167) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: NC 9600912) |
| 363L00000X Nurse Practitioner (Licence: NC 201734) | |
| 363A00000X Physician Assistant (Licence: NC 0010-01441) | |
| Enumeration Date | 2005-11-03 |
| Last Update Date | 2013-07-31 |