| NPI | 1851609093 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONALD DOYLE FRASER President 704-377-3299 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: NC 200001959270) |
| Enumeration Date | 2010-09-22 |
| Last Update Date | 2010-09-22 |