| NPI | 1871112920 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT RISSMILLER SVP 704-631-0002 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology |
| Enumeration Date | 2020-04-09 |
| Last Update Date | 2022-05-13 |