| NPI | 1770735508 |
|---|---|
| Doing Business As | FAMILY MEDICINE AT REVOLUTION MILL |
| Entity Type | Organization |
| Authorized Contact | GEOFFREY K GARDNER VP Of Finance 704-384-9094 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2008-10-10 |
| Last Update Date | 2010-03-29 |