NPI | 1821859455 |
---|---|
Entity Type | Organization |
Authorized Contact | AMY BEANE Authorized Official 828-551-2389 |
Organization Subpart ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
Additional Taxonomies | 133V00000X Dietitian, Registered |
163WD0400X Registered Nurse, Diabetes Educator | |
207Q00000X Family Medicine | |
Enumeration Date | 2024-01-22 |
Last Update Date | 2024-01-22 |