| NPI | 1093435927 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBECCA ANN EDWARDS Credentialing Manager 828-450-7064 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Additional Taxonomies | 347C00000X Private Vehicle |
| Enumeration Date | 2022-08-31 |
| Last Update Date | 2022-09-01 |