| NPI | 1902580095 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY MCNEILL President 704-756-7294 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care |
| Additional Taxonomies | 207P00000X Emergency Medicine |
| Enumeration Date | 2023-06-09 |
| Last Update Date | 2023-06-09 |