| NPI | 1740499714 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CODEY JEAN BROWN Office Manager/Delegated Official 704-871-9731 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 200001772371) |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2012-06-26 |