| NPI | 1508011263 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL AVERY KEPLEY Owner/Physician 704-872-4499 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: NC 27876) |
| Enumeration Date | 2008-11-22 |
| Last Update Date | 2008-11-22 |