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