| NPI | 1730503434 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALMAZ JOHNSON Owner 704-426-3267 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2014-02-16 |
| Last Update Date | 2014-02-16 |