| NPI | 1437960101 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | JANET L. COMBS VP Of Licensure 704-662-1761 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 207RH0002X Internal Medicine, Hospice and Palliative Medicine | 
| Enumeration Date | 2025-01-14 | 
| Last Update Date | 2025-05-16 |