| NPI | 1952823650 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TONYA POWERS Owner 704-616-7330 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: NC 9801450) |
| Enumeration Date | 2017-07-13 |
| Last Update Date | 2017-07-13 |