| NPI | 1477144418 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARON WATTS BROWN Owner 704-516-9357 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care |
| Additional Taxonomies | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2021-02-02 |
| Last Update Date | 2021-04-21 |