NPI | 1700296951 |
---|---|
Entity Type | Organization |
Authorized Contact | MICHAEL NETTLES Office Manager 704-332-3350 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: NC 2006-01193) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 2006-01193) |
207RA0000X Internal Medicine Adolescent Medicine (Licence: NC 2006-01193) | |
207V00000X Obstetrics & Gynecology (Licence: NC 2006-01193) | |
207VE0102X Obstetrics & Gynecology Reproductive Endocrinology (Licence: NC 2006-01193) | |
207VG0400X Obstetrics & Gynecology Gynecology (Licence: NC 2006-01193) | |
208800000X Urology (Licence: NC 2006-01193) | |
Enumeration Date | 2014-04-28 |
Last Update Date | 2014-04-28 |