| NPI | 1477937423 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNE KOME Pgy2 Ambulatory Care Resident 704-408-6547 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: NC 24115) |
| Enumeration Date | 2015-07-18 |
| Last Update Date | 2015-07-18 |