| NPI | 1093967408 |
|---|---|
| Doing Business As | LISA C. NELSON, MD |
| Entity Type | Organization |
| Authorized Contact | LISA CARRAWAY NELSON Owner 252-948-1393 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: NC 207-00955) |
| Enumeration Date | 2008-10-16 |
| Last Update Date | 2008-10-16 |