NPI | 1184321366 |
---|---|
Former Legal Business Name | HIGHSTONE MEDICAL CLINIC PLLC |
Entity Type | Organization |
Authorized Contact | CAROLYN JOHNSTONE HIGHSTONE Nurse Practitioner 704-620-4101 |
Organization Subpart ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health |
Enumeration Date | 2023-02-08 |
Last Update Date | 2023-02-08 |