NPI | 1538120910 |
---|---|
Entity Type | Organization |
Authorized Contact | STEPHRN BUETTLE Chief Of Staff 336-768-3296 |
Organization Subpart ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NC 600091) |
Enumeration Date | 2006-03-28 |
Last Update Date | 2020-08-22 |