| NPI | 1922340132 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAEVE O'CONNOR President 704-910-0765 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RA0201X Internal Medicine, Allergy & Immunology (Licence: NC 20030857) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 20030857) |
| Enumeration Date | 2013-03-26 |
| Last Update Date | 2014-10-17 |