| NPI | 1528241049 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HATTIE MURPHY Area Director 704-527-6322 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 208000000X Pediatrics |
| Enumeration Date | 2007-12-06 |
| Last Update Date | 2008-02-11 |