| NPI | 1619513603 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JILL JOHNSON PATTON Director Of Risk Management 704-936-5546 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center Health Service |
| Enumeration Date | 2019-11-25 |
| Last Update Date | 2022-08-11 |