| NPI | 1922037845 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL L WIENS Senior Vice President 704-355-0648 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2006-07-02 |
| Last Update Date | 2009-04-16 |