| NPI | 1457638116 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS FORD LAYMON Senior Vice President 704-631-0002 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2011-11-09 |
| Last Update Date | 2016-08-19 |