| NPI | 1619413820 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY HYSER Manager 704-800-7414 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2017-01-11 |
| Last Update Date | 2017-10-13 |