| NPI | 1144917758 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRENCE MORTON Cmd 704-607-4835 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 207R00000X Internal Medicine | |
| 363LF0000X Nurse Practitioner, Family | |
| 363LG0600X Nurse Practitioner, Gerontology | |
| Enumeration Date | 2023-04-24 |
| Last Update Date | 2025-07-18 |