| NPI | 1902213762 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANCY C MORETZ Management Support Supervisor 336-651-7460 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 171075) |
| Enumeration Date | 2014-07-14 |
| Last Update Date | 2014-07-14 |