| NPI | 1710715479 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEEA JEANINE WALTON AO 704-316-6081 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism |
| Enumeration Date | 2024-07-24 |
| Last Update Date | 2024-07-24 |