| NPI | 1780067207 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER GEORGE STEPHENSON Owner 704-233-7449 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: NC 200300531) |
| Enumeration Date | 2015-07-01 |
| Last Update Date | 2026-05-06 |