NPI | 1073113031 |
---|---|
Doing Business As | HIGHWAY TO HOPE PEE DEE PRIMARY CARE |
Entity Type | Organization |
Authorized Contact | TRACY L TURNER Controller 803-898-8503 |
Organization Subpart ? | Yes |
Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care |
Enumeration Date | 2020-10-29 |
Last Update Date | 2020-12-18 |