| NPI | 1598257750 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RADWAN IBRAHIM Owner/Member 704-941-4485 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: NC 9701414) |
| Enumeration Date | 2018-06-04 |
| Last Update Date | 2018-06-04 |