| NPI | 1447790662 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ZINA FALLS Billing Manager 704-866-4607 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: NC 5008453) |
| Enumeration Date | 2017-03-07 |
| Last Update Date | 2017-03-07 |