| NPI | 1578597555 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL L. WIENS Senior Vice President 704-355-0648 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2020-08-22 |