| NPI | 1649772708 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FELICIA PATTERSON WASHINGTON Owner 704-893-5022 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5005294) |
| Enumeration Date | 2018-03-05 |
| Last Update Date | 2022-08-23 |