| NPI | 1881640035 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL WAYNE HARDEE Owner/President 704-658-9779 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NC 200000816) |
| Enumeration Date | 2006-05-26 |
| Last Update Date | 2015-08-13 |