| NPI | 1922274240 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AUDREY SANDERS Chief Operations Officer 704-527-6322 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 208000000X Pediatrics |
| Enumeration Date | 2008-05-06 |
| Last Update Date | 2008-05-06 |