| NPI | 1801265194 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAMARIS N MCCLAIN Owner/Provider 704-231-0367 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC 4289) |
| Enumeration Date | 2015-09-17 |
| Last Update Date | 2015-09-17 |