NPI | 1942269808 |
---|---|
Entity Type | Organization |
Authorized Contact | SONDRA LOUISE MCKELLAR Owner, F.N.P. 910-270-0052 |
Organization Subpart ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 57246) |
Enumeration Date | 2006-03-20 |
Last Update Date | 2011-10-04 |