| NPI | 1942472667 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWARD R MOGABGAB Business Owner 704-262-7240 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 9501609) |
| Enumeration Date | 2008-04-02 |
| Last Update Date | 2008-04-02 |