| NPI | 1659307270 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TOMA RADUT President 704-736-9188 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 114730) |
| Additional Taxonomies | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: NC 114730) |
| 363LF0000X Nurse Practitioner, Family (Licence: NC 114730) | |
| Enumeration Date | 2006-06-24 |
| Last Update Date | 2017-12-29 |