NPI | 1427565696 |
---|---|
Entity Type | Organization |
Authorized Contact | MARK LIVINGSTON JUTRAS President 704-947-9000 |
Organization Subpart ? | No |
Primary Taxonomy | 207VE0102X Obstetrics & Gynecology, Reproductive Endocrinology |
Enumeration Date | 2018-01-09 |
Last Update Date | 2018-01-09 |