| NPI | 1699148445 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FELICIA COATS Office Manager 910-486-5437 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: NC 5008158) |
| Enumeration Date | 2015-11-02 |
| Last Update Date | 2015-11-02 |