| NPI | 1851630172 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM J LONG Physician/Owner 704-944-0975 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine (Licence: NC 189833) |
| Enumeration Date | 2013-02-06 |
| Last Update Date | 2023-04-27 |