NPI | 1407061146 |
---|---|
Entity Type | Organization |
Authorized Contact | KRISTEN JEAN SPRATT Fnp 704-847-4000 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: NC 201962) |
Enumeration Date | 2007-05-14 |
Last Update Date | 2020-08-22 |