| NPI | 1376976878 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHRYN ANN SHAW Medical Director/Owner 704-752-7779 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QB0002X Family Medicine, Bariatric Medicine |
| Enumeration Date | 2013-08-20 |
| Last Update Date | 2013-08-20 |