NPI | 1003028630 |
---|---|
Doing Business As | NASH SPECIALTY SERVICES PA-C |
Entity Type | Organization |
Authorized Contact | SHAWN HARTLEY Chief Financial Officer 252-962-8076 |
Organization Subpart ? | Yes |
Primary Taxonomy | 363A00000X Physician Assistant |
Enumeration Date | 2007-05-04 |
Last Update Date | 2020-10-14 |