| NPI | 1770114555 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC CCHANDLEY Owner, Authorized Official 704-236-8245 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207P00000X Emergency Medicine |
| Enumeration Date | 2020-01-30 |
| Last Update Date | 2021-10-28 |