| NPI | 1912073743 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN L. WAGNER CEO Administrator 704-373-0212 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 207RC0000X Internal Medicine, Cardiovascular Disease | |
| 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology | |
| 207RI0011X Internal Medicine, Interventional Cardiology | |
| 2080P0202X Pediatrics, Pediatric Cardiology | |
| 2086S0120X Surgery, Pediatric Surgery | |
| 2086S0129X Surgery, Vascular Surgery | |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) | |
| 363AM0700X Physician Assistant, Medical | |
| 363AS0400X Physician Assistant, Surgical | |
| 363LA2100X Nurse Practitioner, Acute Care | |
| 363LA2200X Nurse Practitioner, Adult Health | |
| 363LF0000X Nurse Practitioner, Family | |
| 363LP0200X Nurse Practitioner, Pediatrics | |
| Enumeration Date | 2006-11-24 |
| Last Update Date | 2020-08-22 |