| NPI | 1881223139 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICAH KIRSCHER Owner 704-310-1175 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2020-04-07 |
| Last Update Date | 2021-02-18 |