| NPI | 1598633067 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIFFANY MONIQUE THOMAS CEO/Nurse Practitioner 251-253-3003 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246ZN0300X Specialist/Technologist, Other, Nephrology |
| Enumeration Date | 2025-10-27 |
| Last Update Date | 2025-10-27 |