| NPI | 1912445560 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JORDAN P ARCHER Administration 704-390-7150 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: NC 94961) |
| Additional Taxonomies | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: NC 01352) |
| 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: NC 86119) | |
| Enumeration Date | 2017-02-03 |
| Last Update Date | 2017-02-03 |