| NPI | 1750360467 |
|---|---|
| Doing Business As | AZALEA COAST FAMILY MEDICINE |
| Entity Type | Organization |
| Authorized Contact | DINESH PAI VP Of Operations 704-384-9104 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2006-01-11 |
| Last Update Date | 2008-06-08 |