| NPI | 1235886870 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TABITHA SESSOMS Office Manager 910-991-3060 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology |
| Additional Taxonomies | 163W00000X Registered Nurse |
| 207Q00000X Family Medicine | |
| 363A00000X Physician Assistant | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2022-03-03 |
| Last Update Date | 2024-10-07 |