| NPI | 1598181885 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL P SEWARD Manager/Member 704-564-9491 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: NC 199863) |
| Enumeration Date | 2014-03-11 |
| Last Update Date | 2014-03-11 |