| NPI | 1962213439 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANET L. COMBS VP Of Licensure 704-662-1761 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RH0002X Internal Medicine, Hospice and Palliative Medicine |
| Enumeration Date | 2025-01-15 |
| Last Update Date | 2025-05-16 |