| NPI | 1487942314 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LHYNNE LESKO Business Administrator 704-934-5434 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 200501333) |
| Enumeration Date | 2011-07-12 |
| Last Update Date | 2011-12-22 |