NPI | 1669868972 |
---|---|
Doing Business As | HOMECARE FOR THE CAROLINAS CLINIC, P.A. |
Entity Type | Organization |
Authorized Contact | TAMARA NEELY Billing Director 704-335-8488 |
Organization Subpart ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
Additional Taxonomies | 251S00000X |
261QM1300X Clinic/Center, Multi-Specialty | |
363LF0000X Nurse Practitioner, Family | |
Enumeration Date | 2015-04-13 |
Last Update Date | 2023-10-17 |