| NPI | 1528320702 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHADAWN STOKES Senior Executive For Healthcare Adm 704-557-0132 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Enumeration Date | 2012-06-13 |
| Last Update Date | 2012-08-06 |