| NPI | 1932698156 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT L MCCLAIN Manager 704-412-7859 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NC 9400705) |
| Enumeration Date | 2018-05-02 |
| Last Update Date | 2018-07-30 |