| NPI | 1669428959 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JERRY MARTIN Physician/Owner 704-471-9895 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NC 729676) |
| Enumeration Date | 2006-05-26 |
| Last Update Date | 2008-11-06 |