| NPI | 1952736142 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROCHELLE M BRANDON Owner/President 704-654-6765 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: NC 9601242) |
| Enumeration Date | 2013-09-06 |
| Last Update Date | 2013-09-06 |