| NPI | 1023469533 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAMARIS MCCLAIN Nurse Practitioner 704-231-0367 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: SC 4289) |
| Enumeration Date | 2016-06-27 |
| Last Update Date | 2016-06-27 |