| NPI | 1033134408 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAMELA STEVENS WHITLEY Fnp/Cwocn 704-984-4595 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 201510) |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2022-07-21 |