| NPI | 1699300822 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD ADAMS Authorized Official 704-495-2470 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2020-03-09 |
| Last Update Date | 2021-10-26 |