| NPI | 1417916677 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN B COEN Insurance Manager 704-847-0757 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080A0000X Pediatrics, Adolescent Medicine (Licence: NC 25046) |
| Enumeration Date | 2006-03-17 |
| Last Update Date | 2020-08-22 |