| NPI | 1760202303 |
|---|---|
| Doing Business As | CAROLINA FAMILY PRACTICE & SPORTS MEDICINE |
| Entity Type | Organization |
| Authorized Contact | LEEA JEANNIE WALTON Rcs Manager 704-316-6081 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207QS0010X Family Medicine, Sports Medicine |
| Enumeration Date | 2024-10-16 |
| Last Update Date | 2025-01-02 |