| NPI | 1669728564 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES D HECKAMAN Owner 704-998-1284 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: SC MD 17584) |
| Enumeration Date | 2012-07-28 |
| Last Update Date | 2012-07-28 |