| NPI | 1407246614 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL P GIROUARD Managing Partner 704-766-1000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WY 14026.1371) |
| Enumeration Date | 2015-01-26 |
| Last Update Date | 2015-01-26 |