| NPI | 1669466785 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFERY JEROME MCNEIL President 704-942-8687 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: NC 00226) |
| Enumeration Date | 2005-09-02 |
| Last Update Date | 2020-08-22 |