NPI | 1548658651 |
---|---|
Entity Type | Organization |
Authorized Contact | JILL JOHNSON PATTON Director Of Risk Management 704-936-5546 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
Enumeration Date | 2014-12-26 |
Last Update Date | 2022-08-11 |