| NPI | 1891904223 |
|---|---|
| Doing Business As | NICOLE M LAIRD CRNP |
| Entity Type | Organization |
| Authorized Contact | SHARON JONES Chief Financial Officer 251-578-2480 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: AL H1801) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AL 19723) |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2010-04-20 |