| NPI | 1881989192 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BENEDICT ONWUKWE OKWARA Medical Director 704-291-9267 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207P00000X Emergency Medicine |
| 207Q00000X Family Medicine | |
| 208000000X Pediatrics | |
| 2080A0000X Pediatrics Adolescent Medicine | |
| 213E00000X Podiatrist | |
| 213ES0103X Podiatrist Foot & Ankle Surgery | |
| Enumeration Date | 2011-06-15 |
| Last Update Date | 2012-09-07 |