| NPI | 1689876021 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH E BAIRD Business Administrator 704-728-7283 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty (Licence: NC 261am1300x) |
| Enumeration Date | 2007-06-05 |
| Last Update Date | 2020-08-22 |