| NPI | 1821248196 |
|---|---|
| Other Name | NORTHLAKE NEUROLOGY - HUNTERSVILLE |
| Entity Type | Organization |
| Authorized Contact | GEOFFREY GARDNER VP Of Finance 704-384-9094 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology |
| Enumeration Date | 2008-09-24 |
| Last Update Date | 2012-10-08 |