| NPI | 1871977249 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIUS TOKUNBOH Medical Director 704-817-7560 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NC 211850) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 211850) |
| Enumeration Date | 2015-07-16 |
| Last Update Date | 2017-03-09 |