| NPI | 1417072927 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BENEDICT O OKWARA Medical Director 704-291-9267 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207P00000X Emergency Medicine |
| 207Q00000X Family Medicine | |
| 207QA0000X Family Medicine Adolescent Medicine | |
| 207RA0000X Internal Medicine Adolescent Medicine | |
| 208000000X Pediatrics | |
| 2080A0000X Pediatrics Adolescent Medicine | |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2010-04-13 |