| NPI | 1720022288 |
|---|---|
| Doing Business As | MEDICAL PLAZA FAMILY PHYSICIANS |
| Entity Type | Organization |
| Authorized Contact | GEOFERRY GARDNER VP Of Operations 704-384-9094 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 225100000X Physical Therapist |
| 363L00000X Nurse Practitioner | |
| 225X00000X Occupational Therapist | |
| Enumeration Date | 2006-06-15 |
| Last Update Date | 2011-07-19 |