| NPI | 1588105001 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WENDY SHROPSHIRE ATKINS President 910-790-7840 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NC 001000036) |
| Enumeration Date | 2017-03-16 |
| Last Update Date | 2017-03-16 |