| NPI | 1558320895 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACKIE A CHAPMAN Practice Manager 704-732-8736 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NC 119460) |
| Enumeration Date | 2006-03-23 |
| Last Update Date | 2011-06-07 |