| NPI | 1730420993 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY VANCE SVP & COO Phc 704-384-6299 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner |
| Additional Taxonomies | 207RC0000X Internal Medicine Cardiovascular Disease |
| Enumeration Date | 2013-03-12 |
| Last Update Date | 2013-03-12 |