| NPI | 1669664264 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLAYTON R BAILEY President 704-399-1415 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: NC 125435) |
| Enumeration Date | 2007-08-16 |
| Last Update Date | 2011-02-02 |