| 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 |