| NPI | 1164689758 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BESSIE LEE WHITE Administrator 252-752-2460 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163WA2000X Registered Nurse, Administrator (Licence: NC FCL074025) |
| Enumeration Date | 2008-05-21 |
| Last Update Date | 2008-05-21 |