| NPI | 1396289765 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMRA HAWKINS Billing/Contracting Manager 704-603-8321 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NC 2142) |
| Enumeration Date | 2016-12-05 |
| Last Update Date | 2016-12-05 |