| NPI | 1902150832 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMARA H LOCKHART Billing 704-453-6335 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology |
| Enumeration Date | 2012-10-30 |
| Last Update Date | 2025-02-15 |