| NPI | 1659974301 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES WOOD Medical Director 704-650-3818 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2020-11-17 |
| Last Update Date | 2022-09-06 |