| NPI | 1174714034 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEATHER M WINGATE Office Manager 910-799-6262 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NC 900335) |
| Enumeration Date | 2007-08-06 |
| Last Update Date | 2017-01-11 |