| NPI | 1689125858 |
|---|---|
| Doing Business As | SEASIDE WELLNESS OF SHALLOTTE |
| Entity Type | Organization |
| Authorized Contact | DAVID MOYE Director 919-614-0301 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| Enumeration Date | 2016-10-21 |
| Last Update Date | 2025-03-07 |