| NPI | 1619030079 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN FRANKLYN BABICH Authorized Official 704-289-4595 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery |
| 208VP0000X Pain Medicine, Pain Medicine | |
| 225100000X Physical Therapist | |
| 335E00000X Prosthetic/Orthotic Supplier | |
| Enumeration Date | 2006-12-18 |
| Last Update Date | 2012-10-04 |