| NPI | 1508180803 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN SEWANYANA M.D./Owner 704-392-4108 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NC 200500253) |
| Enumeration Date | 2010-03-16 |
| Last Update Date | 2010-07-19 |