| NPI | 1629471867 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BAPTISTE MARINO Owner, Physician 704-841-0992 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: NC 0010-05222) |
| Enumeration Date | 2014-10-02 |
| Last Update Date | 2014-10-02 |