| NPI | 1851778385 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL B FERRELL President 704-482-1482 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: NC 200884) |
| Enumeration Date | 2015-05-05 |
| Last Update Date | 2015-05-05 |