NPI | 1952826323 |
---|---|
Entity Type | Organization |
Authorized Contact | CHARLTON OWENSBY Member 704-912-1725 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: NC 29362) |
Enumeration Date | 2017-08-07 |
Last Update Date | 2017-09-26 |