| NPI | 1619074192 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TEMPLE BRITT BYRD Owner/Provider 910-223-1223 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 0050-01554) |
| Enumeration Date | 2006-09-19 |
| Last Update Date | 2020-08-22 |