| NPI | 1447084520 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TASHLYN THOMAS-RHODES Member 704-387-0182 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care |
| 363LF0000X Nurse Practitioner, Family | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| Enumeration Date | 2024-08-29 |
| Last Update Date | 2024-08-29 |