| NPI | 1699540203 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOEL LINN Administrator 704-798-3528 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 208000000X Pediatrics | |
| Enumeration Date | 2023-11-24 |
| Last Update Date | 2023-11-24 |