| NPI | 1447715941 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUZANNE DAUGHERTY JONES Credentialing Administrator 704-962-2785 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207RA0401X Internal Medicine, Addiction Medicine |
| 2083B0002X Preventive Medicine, Obesity Medicine | |
| 2084A0401X Psychiatry & Neurology, Addiction Medicine | |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| Enumeration Date | 2019-02-08 |
| Last Update Date | 2021-06-30 |