NPI | 1730276890 |
---|---|
Entity Type | Organization |
Authorized Contact | JOHN VAUGHN FERGUSON Md Owner 336-342-6063 |
Organization Subpart ? | No |
Primary Taxonomy | 174400000X Specialist (Licence: NC 26070) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology |
363LA2200X Nurse Practitioner, Adult Health | |
363LG0600X Nurse Practitioner, Gerontology | |
367A00000X Advanced Practice Midwife | |
Enumeration Date | 2006-10-09 |
Last Update Date | 2020-08-22 |