| NPI | 1396003646 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEANNETTE WHITAKER Business Administrator 704-867-7494 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: NC 23244) |
| Enumeration Date | 2012-04-24 |
| Last Update Date | 2012-04-24 |