| NPI | 1376156620 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JON ERIC WELCH Owner/Provider 704-754-0257 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RA0201X Internal Medicine, Allergy & Immunology |
| Enumeration Date | 2020-08-26 |
| Last Update Date | 2020-12-04 |