| NPI | 1225554355 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY R WEBB CFO 336-715-0007 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5008698) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NC 5008698) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: NC 5008698) | |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: NC 5008698) | |
| Enumeration Date | 2017-08-21 |
| Last Update Date | 2022-07-21 |