| NPI | 1881979011 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE WINECOFF Member 704-380-3722 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 207V00000X Obstetrics & Gynecology | |
| Enumeration Date | 2011-10-19 |
| Last Update Date | 2022-07-13 |