| NPI | 1992870968 |
|---|---|
| Other Name | CMC - PINEVILLE PRO FEES |
| Entity Type | Organization |
| Authorized Contact | GREG GOMBAR Administrator 704-355-2154 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Enumeration Date | 2006-11-22 |
| Last Update Date | 2011-04-19 |