| NPI | 1932158938 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBECCA EGGERS Practice Manager 704-854-8202 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NC 36757) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NC 9400760) |
| 207Q00000X Family Medicine (Licence: NC 200101147) | |
| 207Q00000X Family Medicine (Licence: NC 200001505) | |
| 207R00000X Internal Medicine (Licence: NC 9401016) | |
| 363AM0700X Physician Assistant Medical (Licence: NC 100796) | |
| Enumeration Date | 2006-05-08 |
| Last Update Date | 2008-10-14 |