| NPI | 1871035188 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUMMIT BHANJI KUNDARIA Owner 704-593-6802 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: NC 2016-01378) |
| Enumeration Date | 2016-11-17 |
| Last Update Date | 2016-11-17 |