Organization
ISLAND TIME MEDICAL AND WELLNESS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LOU A EARNHARDT AGPCNP-BC (NP / OWNER)
(336) 848-8250
Entity
Organization
Contact information
Practice address
39 DOWITCHER TRL, BALD HEAD ISLAND, NC 28461
(336) 848-8250
Mailing address
PO BOX 3422, BALD HEAD ISLAND, NC 28461-7004
(336) 848-8250
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
09/30/2020
Last updated
09/30/2020
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