| NPI | 1932723616 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHALA DAVIS Enrollment Manager 704-316-7845 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2081N0008X Physical Medicine & Rehabilitation Neuromuscular Medicine |
| Enumeration Date | 2020-05-29 |
| Last Update Date | 2020-05-29 |