| NPI | 1609243799 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN SHADOWENS CFO 336-627-8512 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 364SP0200X Clinical Nurse Specialist, Pediatrics (Licence: NC CALD-25GVJ6) |
| Enumeration Date | 2015-08-25 |
| Last Update Date | 2023-06-16 |