| NPI | 1053559195 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTIE M CONNERTON Billing Manager 336-830-3308 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: NC 940103) |
| Enumeration Date | 2009-01-28 |
| Last Update Date | 2009-01-28 |