| NPI | 1962986489 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JILL JOHNSON PATTON Director Of Risk Management 704-936-5546 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center Health Service |
| Enumeration Date | 2018-09-20 |
| Last Update Date | 2022-08-12 |