| NPI | 1710301437 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN LOVEJOY ROQUE Owner 704-657-3568 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NC 9500440) |
| Enumeration Date | 2014-02-17 |
| Last Update Date | 2014-02-17 |