| NPI | 1487948659 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHRYN AUDELL PIBURN Nurse Practitioner 251-709-6297 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: FL ARNP9324383) |
| Enumeration Date | 2011-06-06 |
| Last Update Date | 2011-06-06 |