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 |