| NPI | 1770615114 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL PETER SEWARD Member/Manager 704-688-9650 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2007-03-12 |
| Last Update Date | 2023-03-10 |