| NPI | 1427483601 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY S CHAMBERS Owner/Provider 704-572-0154 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: NC 001000254) |
| Enumeration Date | 2013-09-06 |
| Last Update Date | 2014-06-13 |