| NPI | 1477789147 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUDY L KEIGHRON President 704-873-4484 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 201255) |
| Enumeration Date | 2009-06-08 |
| Last Update Date | 2009-08-21 |