| NPI | 1558242495 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEEA WALTON Manager 704-316-6081 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VM0101X Obstetrics & Gynecology Maternal & Fetal Medicine |
| Enumeration Date | 2025-09-09 |
| Last Update Date | 2025-09-09 |