| NPI | 1982918314 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIO AUGUSTO HERNANDEZ Md 704-359-7426 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: NC 201000567) |
| Enumeration Date | 2010-07-27 |
| Last Update Date | 2010-09-30 |