NPI | 1679913651 |
---|---|
Entity Type | Organization |
Authorized Contact | SATYA JAMMALAMADAKA Md 704-540-3036 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: NC 201001747) |
Enumeration Date | 2013-07-05 |
Last Update Date | 2013-07-05 |