| NPI | 1811933799 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM EDWARD ANTHONY Owner/Physician 704-865-7096 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: NC 35254) |
| Enumeration Date | 2006-06-21 |
| Last Update Date | 2017-09-22 |