| NPI | 1578989463 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEREK ROBERT MCCLURE Nurse Practitioner / Owner 336-846-6100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care |
| Enumeration Date | 2014-03-15 |
| Last Update Date | 2024-05-17 |