| NPI | 1578663290 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THUANHANH THI NGUYEN President/Owner 704-554-8880 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 200201583) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NC 9901337) |
| Enumeration Date | 2006-09-23 |
| Last Update Date | 2011-11-15 |