NPI | 1952509705 |
---|---|
Entity Type | Organization |
Authorized Contact | DEBORAH J. WALSH Owner 704-551-0808 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: NC 953167) |
Enumeration Date | 2007-07-03 |
Last Update Date | 2020-08-22 |