| NPI | 1720726193 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN B LEWIS Member 704-537-0909 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Additional Taxonomies | 163WI0500X Registered Nurse, Infusion Therapy |
| 183500000X Pharmacist | |
| 207R00000X Internal Medicine | |
| 208D00000X General Practice | |
| Enumeration Date | 2022-05-25 |
| Last Update Date | 2024-11-07 |