| NPI | 1164742870 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANNON I SPEECE Owner 252-364-2802 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NC 5004454) |
| Enumeration Date | 2010-06-03 |
| Last Update Date | 2016-09-02 |