| NPI | 1790812840 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALBERT SHEDERICK FORD Doctor 704-564-9030 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine (Licence: NC 930069) |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2008-06-30 |