| NPI | 1437112968 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBBIE CARPENTER Assistant Office Manager 704-694-5164 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center Primary Care (Licence: NC 39033) |
| Enumeration Date | 2006-04-07 |
| Last Update Date | 2020-08-22 |