| NPI | 1578158622 |
|---|---|
| Doing Business As | NHMGCR ATLANTIC UROLOGY |
| Entity Type | Organization |
| Authorized Contact | SHALA DAVIS Rcs Manager 704-303-7517 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208800000X Urology |
| Enumeration Date | 2021-03-01 |
| Last Update Date | 2021-07-19 |