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 |