NPI | 1801143805 |
---|---|
Entity Type | Organization |
Authorized Contact | JANELLE BROWN-TAFT Owner/Nurse Practitioner 252-991-5382 |
Organization Subpart ? | No |
Primary Taxonomy | 261Q00000X Clinic/Center (Licence: NC 5004688) |
Enumeration Date | 2012-08-08 |
Last Update Date | 2020-02-27 |