| NPI | 1760571962 |
|---|---|
| Other Name | WBAMC |
| Entity Type | Organization |
| Authorized Contact | JESSICA KLEBERG SVP Of Legal And Compliance 704-664-2876 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX K6689) |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2018-11-20 |