EDGAR E NULL

SOUTHPORT, NC
NPI1790526150
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: NC  F05240539)
Enumeration Date2024-06-01
Last Update Date2024-06-01
Business Address
EDGAR E NULL FNP-C
606 W WEST ST
SOUTHPORT, NC 28461-3850
Phone number: 540-486-6600
Mailing Address
EDGAR E NULL FNP-C
606 W WEST ST
SOUTHPORT, NC 28461-3850
Phone number: 540-486-6600
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