| NPI | 1851362503 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY DELLINGER Office Manager 704-865-0626 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 208000000X Pediatrics |
| Enumeration Date | 2006-01-31 |
| Last Update Date | 2023-09-25 |