| NPI | 1558759712 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TANILLYA WILKERSON PARTRIDGE President 336-694-1924 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5006150) |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2014-12-22 |
| Last Update Date | 2022-06-30 |