| NPI | 1770161432 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRENCE MORTON Cmo 704-607-4835 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center Primary Care |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| 363LF0000X Nurse Practitioner Family | |
| 207R00000X Internal Medicine | |
| 207Q00000X Family Medicine | |
| Enumeration Date | 2021-04-01 |
| Last Update Date | 2025-07-18 |