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 | 2015-07-01 |