| NPI | 1902101181 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHAN N MCMULLEN Incorporator 704-928-5174 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NC 2005-01754) |
| Enumeration Date | 2011-01-19 |
| Last Update Date | 2011-01-19 |