| NPI | 1720226236 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PETINA ANN SLOAN Practice Administrator 910-246-2229 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NC 20070048) |
| Enumeration Date | 2009-01-22 |
| Last Update Date | 2021-08-23 |