| NPI | 1427450311 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS FOSTER CAMPBELL President/CEO 336-889-6105 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: NC 201930) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: NC 201930) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: NC 201930) | |
| 363LF0000X Nurse Practitioner, Family (Licence: NC 201930) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NC 201930) | |
| Enumeration Date | 2014-09-23 |
| Last Update Date | 2014-09-23 |