| NPI | 1962000174 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RHONDA NICHOLS MCGREW Nurse Practitioner/Co Owner 251-610-5615 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics |
| Enumeration Date | 2020-10-12 |
| Last Update Date | 2021-05-08 |