| NPI | 1467652016 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALISHA M PRYOR Operations Manager 704-948-9554 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: NC 200200854) |
| Enumeration Date | 2007-07-23 |
| Last Update Date | 2007-07-23 |