| NPI | 1871460709 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAKESHA CARTER President 362-631-3423 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QA0505X Family Medicine, Adult Medicine |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care |
| Enumeration Date | 2025-10-23 |
| Last Update Date | 2025-10-23 |