| NPI | 1750682431 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE OGUNWALE Administrator / Manager 704-362-4403 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology |
| Enumeration Date | 2010-11-10 |
| Last Update Date | 2020-02-21 |