Registry details
Type
Individual
Primary specialty
Nurse Practitioner, Family
Enumerated
Sep 9, 2019
License(s)
5012269 (NC)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| LOCATION | 720 MALCOLM BLVD | Connelly Springs, NC 28612-7920 | 828-580-7536 |
| MAILING | 720 MALCOLM BLVD | Connelly Springs, NC 28612-7920 | 828-580-7536 |
Watch this provider
Get a webhook/email the day this provider is added to the OIG-LEIE exclusion list or appears in an FDA enforcement action.