| NPI | 1447585542 |
|---|---|
| Doing Business As | KINGS MOUNTAIN INTERNAL MEDICINE |
| Entity Type | Organization |
| Authorized Contact | DANIEL L. WIENS Sr. Vice President 704-355-0648 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Enumeration Date | 2009-10-07 |
| Last Update Date | 2013-01-25 |