| NPI | 1649539792 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OKECHUKWU DIMKPA Physician 704-963-9270 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NC 2005-01338) |
| Enumeration Date | 2012-05-10 |
| Last Update Date | 2014-06-25 |