NPI | 1588092399 |
---|---|
Entity Type | Organization |
Authorized Contact | CATHERINE SWAIN Nurse Practitioner 910-409-1658 |
Organization Subpart ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5006519) |
Enumeration Date | 2013-10-15 |
Last Update Date | 2013-10-15 |