| NPI | 1831337484 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TENEE HOLMES Mri Scheulder 704-323-3165 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization |
| Additional Taxonomies | 174400000X Specialist |
| Enumeration Date | 2009-02-04 |
| Last Update Date | 2009-02-04 |