| NPI | 1508116278 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRACEI BALL Cmo, Manager 704-747-2262 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207RA0401X Internal Medicine, Addiction Medicine |
| 208000000X Pediatrics | |
| Enumeration Date | 2012-09-10 |
| Last Update Date | 2013-08-07 |