| NPI | 1477171759 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHALA DAVIS Rcs Manager 704-316-7845 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VX0201X Obstetrics & Gynecology Gynecologic Oncology |
| Enumeration Date | 2020-07-13 |
| Last Update Date | 2020-07-13 |