| NPI | 1528612694 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HANNAH QUARSHIE Np 704-858-6851 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner Primary Care |
| Additional Taxonomies | 261QU0200X Clinic/Center Urgent Care |
| Enumeration Date | 2019-07-27 |
| Last Update Date | 2020-08-28 |