NPI | 1679184055 |
---|---|
Doing Business As | TRUIST CHARLOTTE CASCADE |
Entity Type | Organization |
Authorized Contact | JON LEIZMAN President 216-479-9063 |
Organization Subpart ? | No |
Primary Taxonomy | 208D00000X General Practice |
Enumeration Date | 2020-08-11 |
Last Update Date | 2022-08-24 |