| NPI | 1629504949 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAULA L DIXON Family Nurse Practitioner 704-617-2242 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: NC 206898) |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2017-05-05 |
| Last Update Date | 2019-05-22 |