| NPI | 1578803177 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMMY CARPENTER Office Manager 704-719-9722 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NC 34123) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: NC 200001111) |
| Enumeration Date | 2013-02-20 |
| Last Update Date | 2013-02-20 |